Active NPI
Barbara Ann White, LMT, MMP
- Massage Therapist
- Surprise, AZ
National Provider Identifier
1225367741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT-12054
- Practice address
- 16458 W Forgotten Trail CT
Surprise, AZ 85374-5112 - Phone
- (623) 466-3924
- Fax
- (623) 975-3381
- NPI assigned
- Dec 11, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT-12054 | AZ | Primary |
Addresses
Primary practice location
16458 W Forgotten Trail CT
Surprise, AZ 85374-5112
Mailing address
PO Box 7754
Surprise, AZ 85374-0112
Phone (623) 466-3924
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 |
|---|---|---|---|
| MT-12054 | AZ | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260489600000",
"number": "1225367741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7754",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853740112",
"telephone_number": "623-466-3924",
"fax_number": "623-975-3381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16458 W FORGOTTEN TRAIL CT",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853745112",
"telephone_number": "623-466-3924",
"fax_number": "623-975-3381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "BARBARA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LMT, MMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-11",
"last_updated": "2009-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AZ",
"license": "MT-12054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.