Individual provider Active NPI

Nancy E Prince, LMT

  • Massage Therapist
  • Kaysville, UT
National Provider Identifier
1255006946
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7760739-4701 Issued in UT
Practice address
186 N 100 E Ste a
Kaysville, UT 84037-1904
Phone
(801) 897-8711
Fax
(385) 333-7202
NPI assigned
Aug 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 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 7760739-4701 UT Primary

Addresses

Primary practice location

186 N 100 E Ste a
Kaysville, UT 84037-1904

Mailing address

186 N 100 E Ste a
Kaysville, UT 84037-1904
Phone (801) 897-8711

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

LicenseStateTypeSpecialty
7760739-4701UTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Structura Body Therapies, LLC Current Accepting new patients
Structura Body Therapies, LLC Current Accepting new patients

Organizations & group practices 2

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": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1255006946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 N 100 E STE A",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371904",
            "telephone_number": "801-897-8711",
            "fax_number": "385-333-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 N 100 E STE A",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371904",
            "telephone_number": "801-897-8711",
            "fax_number": "385-333-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "NANCY",
        "middle_name": "E",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "7760739-4701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaysville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.