Active NPI
Brooke Duncan Stacy
- Massage Therapist
- Louisville, KY
National Provider Identifier
1285281113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 108328
- Practice address
- 3615 Newburg Rd
Louisville, KY 40218-3368 - Phone
- (502) 909-0772
- NPI assigned
- Aug 26, 2019
- 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 | 108328 | KY | Primary |
Addresses
Primary practice location
3615 Newburg Rd
Louisville, KY 40218-3368
Mailing address
3615 Newburg Rd
Louisville, KY 40218-3368
Phone (502) 909-0772
Other practice location 1
300 S 13th St
Louisville, KY 40203-1778
Phone (502) 583-1011
Other practice location 2
3615 Newburg Rd
Louisville, KY 40218-3368
Phone (502) 909-0772
Other practice location 3
300 S 13th St
Louisville, KY 40203-1778
Phone (502) 583-1011
Other names 1
- Brooke Duncan Barbour
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 |
|---|---|---|---|
| 108328 | KY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566777600000",
"number": "1285281113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3615 NEWBURG RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402183368",
"telephone_number": "502-909-0772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3615 NEWBURG RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402183368",
"telephone_number": "502-909-0772"
}
],
"practiceLocations": [
{
"address_1": "300 S 13th St",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402031778",
"country_code": "US",
"telephone_number": "502-583-1011",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3615 Newburg Rd",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402183368",
"country_code": "US",
"telephone_number": "502-909-0772",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 S 13th St",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402031778",
"country_code": "US",
"telephone_number": "502-583-1011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STACY",
"first_name": "BROOKE",
"middle_name": "DUNCAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-26",
"last_updated": "2019-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "KY",
"license": "108328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BROOKE",
"last_name": "BARBOUR",
"middle_name": "DUNCAN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.