Individual provider Active NPI

Tabitha Ashley Mamie Aranda, LMT

  • Massage Therapist
  • Collierville, TN
National Provider Identifier
1194438150
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0000007318 Issued in TN
Practice address
3670 S Houston Levee Rd Ste 107
Collierville, TN 38017-9145
Phone
(901) 842-1444
NPI assigned
Jan 4, 2023
Last updated
Jan 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 0000007318 TN Primary

Addresses

Primary practice location

3670 S Houston Levee Rd Ste 107
Collierville, TN 38017-9145

Mailing address

766 S White Station Rd Ste 3
Memphis, TN 38117-4579
Phone (901) 842-1444

Other names 1

  • Tabitha Ashley Mamie Clark Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0000007318TNMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Goulds Beauty Salons Incorporated Massage Therapist CurrentSince Jan 8, 2023 Accepting new patients

Locations

3670 S Houston Levee Rd
Ste 107
Collierville, TN 38017
Phone (901) 842-1444

766 S White Station Rd
Ste 3
Memphis, TN 38117

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1194438150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 S WHITE STATION RD STE 3",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174579",
            "telephone_number": "901-842-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 S HOUSTON LEVEE RD STE 107",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380179145",
            "telephone_number": "901-842-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARANDA",
        "first_name": "TABITHA",
        "middle_name": "ASHLEY MAMIE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TN",
            "license": "0000007318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TABITHA",
            "last_name": "CLARK",
            "middle_name": "ASHLEY MAMIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Collierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.