Kieyan Antonio Anthony, LMBT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

20501 Issued in NC

Practice address

2105 W Cornwallis Dr
Greensboro, NC 27408-7037

Phone

(336) 235-4530

NPI assigned

Aug 23, 2022

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rigby Performance Medicine PLLC

  • Sports Medicine (Family Medicine) Physician
  • Greensboro, NC
  • NPI 1386254373
  NPD (past)

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1336868520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 W CORNWALLIS DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087037",
            "telephone_number": "336-235-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 W CORNWALLIS DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087037",
            "telephone_number": "336-235-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "KIEYAN",
        "middle_name": "ANTONIO",
        "credential": "LMBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "20501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Gove Student Health Services
• Another Chance, LLC
• Michael Ansari, CRNA
• Jacinda Lela Anstead
• Donna Lorene Anthony, LCSW
• Tracy Anthony, LPCA
• Maria Abellaneda Antunez, M.S., NCC., & LPC
• Zeba Anwar, MD
• Sarah Coe Apel
• Apex Select LLC

• All providers in Greensboro, NC
• Massage Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.