Individual provider Active NPI

Vanessa Joy Sears, M.T.

  • Reflexologist
  • Covington, GA
National Provider Identifier
1316278666
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ReflexologistTaxonomy code 173C00000X
License
MT006115 Issued in GA
Practice address
10162 Carlin Dr
Covington, GA 30014-3603
Phone
(770) 787-9055
Fax
(770) 787-9054
NPI assigned
Jan 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reflexologist 173C00000X MT006115 GA Primary

Addresses

Primary practice location

10162 Carlin Dr
Covington, GA 30014-3603

Mailing address

10162 Carlin Dr
Covington, GA 30014-3603
Phone (770) 787-9055

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
Medical Technician

State licenses

LicenseStateTypeSpecialty
MT006115GAMDReflexologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1316278666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10162 CARLIN DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300143603",
            "telephone_number": "770-787-9055",
            "fax_number": "770-787-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10162 CARLIN DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300143603",
            "telephone_number": "770-787-9055",
            "fax_number": "770-787-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEARS",
        "first_name": "VANESSA",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "GA",
            "license": "MT006115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.