Individual provider Active NPI

Michelle Mae Levell, LMT

  • Massage Therapist
  • Electra, TX
National Provider Identifier
1366677288
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT038536 Issued in TX
Practice address
221 W Roosevelt Ave
Electra, TX 76360-2437
Phone
(940) 632-0558
NPI assigned
May 20, 2009
Last updated
May 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT038536 TX Primary

Addresses

Primary practice location

221 W Roosevelt Ave
Electra, TX 76360-2437

Mailing address

105 Avenue a
Electra, TX 76360-1447
Phone (940) 632-0558

Other identifiers 1

IdentifierTypeStateIssuer
MT038536OtherTXMASSAGE THERAPIST LICENSE NUMBER

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

State licenses

LicenseStateTypeSpecialty
MT038536TXMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242777600000",
    "number": "1366677288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 AVENUE A",
            "city": "ELECTRA",
            "state": "TX",
            "postal_code": "763601447",
            "telephone_number": "940-632-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W ROOSEVELT AVE",
            "city": "ELECTRA",
            "state": "TX",
            "postal_code": "763602437",
            "telephone_number": "940-632-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVELL",
        "first_name": "MICHELLE",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT038536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST LICENSE NUMBER",
            "identifier": "MT038536",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Electra, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.