Active NPI
Deborah Lynn Hunsicker, LMT
- Massage Therapist
- Prescott Valley, AZ
National Provider Identifier
1225655541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 02869P
- Practice address
- 8200 E Jacque Dr
Prescott Valley, AZ 86314-6172 - Phone
- (928) 227-1899
- NPI assigned
- Jul 2, 2020
- 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 | 02869P | AZ | Primary |
Addresses
Primary practice location
8200 E Jacque Dr
Prescott Valley, AZ 86314-6172
Mailing address
1590 Willow Creek Rd
Prescott, AZ 86301-1164
Phone (928) 227-1899
Other practice location 1
1590 Willow Creek Rd
Prescott, AZ 86301-1164
Phone (928) 227-1899
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | prescottwellness.com | Direct | Wojciak Enterprises Inc |
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 |
|---|---|---|---|
| 02869P | AZ | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1225655541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1590 WILLOW CREEK RD",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011164",
"telephone_number": "928-227-1899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 E JACQUE DR",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863146172",
"telephone_number": "928-227-1899"
}
],
"practiceLocations": [
{
"address_1": "1590 Willow Creek Rd",
"address_purpose": "LOCATION",
"city": "Prescott",
"state": "AZ",
"postal_code": "863011164",
"country_code": "US",
"telephone_number": "928-227-1899",
"fax_number": "800-536-1048",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUNSICKER",
"first_name": "DEBORAH",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-02",
"last_updated": "2023-11-27",
"certification_date": "2020-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AZ",
"license": "02869P",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "prescottwellness.com",
"affiliation": "Y",
"endpointDescription": "website",
"affiliationName": "Wojciak Enterprises Inc",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1590 Willow Creek Rd",
"city": "Prescott",
"state": "AZ",
"country_code": "US",
"postal_code": "863011141",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Prescott Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.