Nichole Ann Smith, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501007472 Issued in MI

Practice address

50 Filer St Ste 210F
Manistee, MI 49660-2787

Phone

(231) 729-1311

NPI assigned

Jan 25, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1245946045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4932 N US HIGHWAY 31",
            "city": "SCOTTVILLE",
            "state": "MI",
            "postal_code": "494549243",
            "telephone_number": "231-729-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 FILER ST STE 210F",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496602787",
            "telephone_number": "231-729-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NICHOLE",
        "middle_name": "ANN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501007472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH NUMBER",
            "identifier": "15842882",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "4932NUShighway31ScottvilleMI49454",
            "affiliation": "N",
            "endpointDescription": "Home address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4932 N US Highway 31",
            "city": "Scottville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494549243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Esther Sigurdardottir, PT
• Sleep Apnea Solutions PC
• Stephanie Ann Smart, NP
• Walter A Smart, LBSW
• Craig A Smith, MS, LLP
• Sally Elizabeth Somsel, PT
• Courtney Sorenson
• Lori Sorenson
• Shane M Sova
• Heather R Stapley, LBSW

• Massage Therapist in Manistee, MI
• Providers in Manistee, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.