Active NPI
Arlyce O Everson, RN, CCM, NCTMB
- Massage Therapist
- La Crosse, WI
National Provider Identifier
1265617708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 3023
- Practice address
- 630 10TH St S
La Crosse, WI 54601-4736 - Phone
- (608) 392-9769
- Fax
- (608) 392-9567
- NPI assigned
- Jan 3, 2008
- 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 | 3023 | WI | Primary |
Addresses
Primary practice location
630 10TH St S
La Crosse, WI 54601-4736
Mailing address
630 10TH St S
La Crosse, WI 54601-4736
Phone (608) 392-9769
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
- Credentials
- Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199318400000",
"number": "1265617708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 10TH ST S",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546014736",
"telephone_number": "608-392-9769",
"fax_number": "608-392-9567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 10TH ST S",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546014736",
"telephone_number": "608-392-9769",
"fax_number": "608-392-9567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERSON",
"first_name": "ARLYCE",
"middle_name": "O",
"credential": "RN, CCM, NCTMB",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-03",
"last_updated": "2008-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WI",
"license": "3023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.