Monica Rae Poore, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0000011018 Issued in TN

Practice address

1442 N Broad St Ste 3
Tazewell, TN 37879-4362

Phone

(423) 626-3996

NPI assigned

May 5, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1316568942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 N BROAD ST STE 3",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378794362",
            "telephone_number": "423-626-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 N BROAD ST STE 3",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378794362",
            "telephone_number": "423-626-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POORE",
        "first_name": "MONICA",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TN",
            "license": "0000011018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oldtown13@hotmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1442 N Broad St Ste 3",
            "city": "Tazewell",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378794362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anna Noel Nerren, FNP
• Victoria Lynn Parker, PTA
• Jaykrishna Patel, M.D.
• Shaku J Patel, D.D.S.
• Pediatrics to Parents Medical, PC
• Preferred Surgical Associates
• Benny Lee Raby, PHARMACIST
• Teresa A Rasmussen, P.A.C.
• Afton Rose Reid
• Brenda Kaye Render, CRNA

• Massage Therapist in Tazewell, TN
• Providers in Tazewell, TN by specialty
• Massage Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.