Individual provider Active NPI

Aubrey Morrison, MS, MS

  • Massage Therapist
  • Jacksonville, NC
National Provider Identifier
1215691803
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
16763 Issued in NC
Practice address
411 Western Blvd Ste B
Jacksonville, NC 28546-6822
Phone
(910) 581-2900
NPI assigned
Oct 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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 16763 NC Primary

Addresses

Primary practice location

411 Western Blvd Ste B
Jacksonville, NC 28546-6822

Mailing address

129 Otway Burns Dr
Swansboro, NC 28584-8494
Phone (423) 653-1277

Other identifiers 1

IdentifierTypeStateIssuer
16763MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Holbie Direct

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
16763NCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Massage and Wellness Massage Therapist CurrentSince Oct 31, 2021 Accepting new patients

Locations

411 Western Blvd
Ste B
Jacksonville, NC 28546
Phone (910) 581-2900

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": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1215691803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 OTWAY BURNS DR",
            "city": "SWANSBORO",
            "state": "NC",
            "postal_code": "285848494",
            "telephone_number": "423-653-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 WESTERN BLVD STE B",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466822",
            "telephone_number": "910-581-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "AUBREY",
        "name_prefix": "Mrs.",
        "credential": "MS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "16763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16763",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Holbie",
            "affiliation": "N",
            "endpointDescription": "The 'middle-man' between client and insurance company that we can view and be notified of approval and treatment needs.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "411 Western Blvd Ste B",
            "city": "Jacksonville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285466822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.