Active NPI
Davanelle Freeman
- Nurse Massage Therapist (NMT)
- Pearland, TX
National Provider Identifier
1205596657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Massage Therapist (NMT)
- License
- MT129213
- Practice address
- 8619 Broadway St Ste 101
Pearland, TX 77584-8495 - Phone
- (832) 586-8855
- NPI assigned
- Dec 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT129213 | TX | |
| Nurse Massage Therapist (NMT) | 163WM1400X | MT129213 | TX | Primary |
Addresses
Primary practice location
8619 Broadway St Ste 101
Pearland, TX 77584-8495
Mailing address
8619 Broadway St Ste 101
Pearland, TX 77584-8495
Phone (832) 586-8855
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
| License | State | Type | Specialty |
|---|---|---|---|
| MT129213 | TX | MD | Nurse Massage Therapist (NMT) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yimi Skin Inc | Massage Therapist | Current | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650240000000",
"number": "1205596657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8619 BROADWAY ST STE 101",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775848495",
"telephone_number": "832-586-8855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8619 BROADWAY ST STE 101",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775848495",
"telephone_number": "832-586-8855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "DAVANELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-27",
"last_updated": "2022-04-18",
"certification_date": "2022-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT129213",
"primary": false
},
{
"code": "163WM1400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
"state": "TX",
"license": "MT129213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.