Active NPI
Stephanie Williams
- Massage Therapist
- Richmond Heights, MO
National Provider Identifier
1376313692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2009001941
- Practice address
- 1524 S Big Bend Blvd
Richmond Heights, MO 63117-2206 - Phone
- (314) 472-3493
- NPI assigned
- Jan 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2009001941 | MO | Primary |
Addresses
Primary practice location
1524 S Big Bend Blvd
Richmond Heights, MO 63117-2206
Mailing address
10696 Carroll Wood Way
Saint Louis, MO 63128-1317
Phone (314) 717-8871
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2009001941 | MO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1376313692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10696 CARROLL WOOD WAY",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631281317",
"telephone_number": "314-717-8871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 S BIG BEND BLVD",
"city": "RICHMOND HEIGHTS",
"state": "MO",
"postal_code": "631172206",
"telephone_number": "314-472-3493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-08",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MO",
"license": "2009001941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond Heights, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.