Michaela Nichole Massa

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2691 Issued in AL

Practice address

338 Veterans Memorial Drive
Troy, AL 36082-7729

Phone

(334) 670-3452

NPI assigned

Nov 6, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1376144162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 JOSHUA DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895092248",
            "telephone_number": "702-752-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 VETERANS MEMORIAL DRIVE",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360827729",
            "telephone_number": "334-670-3452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5066 Jeffreys St Unit 202",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891197729",
            "country_code": "US",
            "telephone_number": "775-303-0727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSA",
        "first_name": "MICHAELA",
        "middle_name": "NICHOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-06",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AL",
            "license": "2691",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas A Malone, ATC
• McKenzie Mann
• Mallory Marler
• James Logan Marquis, ATC
• Maggie Anderson Marvin, CPNP
• Shanna F May, OD
• Amiah McClain
• Madeline Avery McCoy
• Hayley Rebecca McDaniel, ARNP
• Jayson J McFadden

• Athletic Trainer in Troy, AL
• Providers in Troy, AL by specialty
• Athletic Trainer in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.