Kimberly Staples, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

14030 Issued in TN

Practice address

3544 Blackberry LN
Lebanon, TN 37087-8261

Phone

(615) 693-5946

NPI assigned

Jan 26, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1316699754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3544 BLACKBERRY LN",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370878261",
            "telephone_number": "615-693-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3544 BLACKBERRY LN",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370878261",
            "telephone_number": "615-693-5946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLES",
        "first_name": "KIMBERLY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TN",
            "license": "14030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Spears
• Sydney Gabrielle Spurgeon, PA-C
• SSC Lebanon Operating Company LLC
• Michael E Staggs Jr., LPN
• Danielle Deslauriers Stamps, FNP
• Selena Starks
• Hannah Elaine Starr, LPC-MHSP (TEMP)
• State of Tennessee
• Courtney A Steele, PT
• Sandra Denise Steele, P.T.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.