Active NPI
Nicole M Kuchinski, LMT
- Massage Therapist
- Morgantown, WV
National Provider Identifier
1255849923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2018-3577
- Practice address
- 160 Fayette St
Morgantown, WV 26505-0188 - Phone
- (304) 288-0629
- Fax
- (304) 288-0629
- NPI assigned
- Jan 16, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 2018-3577 | WV | Primary |
Addresses
Primary practice location
160 Fayette St
Morgantown, WV 26505-0188
Mailing address
16659 Veterans Memorial Hwy
Kingwood, WV 26537-8037
Phone (304) 288-0629
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2018-3577 | Other | WV | PEIA |
| 2018-3577 | Other | WV | WC |
| 2018-3577 | Other | WV | HUMANA |
| 2018-3577 | Other | WV | PIP |
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 |
|---|---|---|---|
| 2018-3577 | WV | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516060800000",
"number": "1255849923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16659 VETERANS MEMORIAL HWY",
"city": "KINGWOOD",
"state": "WV",
"postal_code": "265378037",
"telephone_number": "304-288-0629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 FAYETTE ST",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265050188",
"telephone_number": "304-288-0629",
"fax_number": "304-288-0629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUCHINSKI",
"first_name": "NICOLE",
"middle_name": "M",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-16",
"last_updated": "2018-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WV",
"license": "2018-3577",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEIA",
"identifier": "2018-3577",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WC",
"identifier": "2018-3577",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "2018-3577",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIP",
"identifier": "2018-3577",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.