Nikela Mathew Moland

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501011971 Issued in MI

Practice address

9111 Grandville Ave
Detroit, MI 48228-1712

Phone

(313) 334-0904

NPI assigned

Dec 19, 2023

Last updated

Dec 19, 2023By the provider in NPPES

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

Other names 1

• Nikela Pollard Former name

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": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1346018314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 SHARE AVE APT 201",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481986559",
            "telephone_number": "313-334-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9111 GRANDVILLE AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482281712",
            "telephone_number": "313-334-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLAND",
        "first_name": "NIKELA",
        "middle_name": "MATHEW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501011971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKELA",
            "last_name": "POLLARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Syed Mohsin, MD, MPH
• Ruhi Mohta
• Ruth M Moineau, NURSE PRACTITONER
• Barbara Lucille Moir, M.S.
• Marc Daniel Moisi, MD
• Carrie Stuart Molesa, PHARMD, BCPS
• Thomas Kiely Molina-Duarte, LLMSW
• Guido Mariano Molina-Pallete, MD
• D'Arcy Ann Molloy
• Mark Molnar, MD

• Massage Therapist in Detroit, MI
• Providers in Detroit, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.