Individual provider Active NPI

Nicole M Kuchinski, LMT

  • Massage Therapist
  • Morgantown, WV
National Provider Identifier
1255849923
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
2018-3577 Issued in WV
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

Updated by the provider on Jan 16, 2018

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 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

IdentifierTypeStateIssuer
2018-3577OtherWVPEIA
2018-3577OtherWVWC
2018-3577OtherWVHUMANA
2018-3577OtherWVPIP

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
2018-3577WVMDMassage 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.

Verify at the official NPI Registry.