Individual provider Active NPI

Nicole R Ransom, LMT, MMP

  • Massage Therapist
  • Ringgold, GA
National Provider Identifier
1396355897
Registry record updated Aug 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT012767 Issued in GA
Practice address
838 Old Mill Rd # 9373535
Ringgold, GA 30736-8020
Phone
(706) 937-3535
NPI assigned
Aug 9, 2020
Last updated
Aug 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2020

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 MT012767 GA Primary

Addresses

Primary practice location

838 Old Mill Rd # 9373535
Ringgold, GA 30736-8020

Mailing address

838 Old Mill Rd
Ringgold, GA 30736-8020

Other identifiers 2

IdentifierTypeStateIssuer
MT08501OtherTNMASSAGE THERAPY
MT012767OtherGAMEDICAL MASSAGE

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL mahesticspaandsalon@gmail.com
SOAP URL Majesticspaandslaon@gmail.com Health Information Exchange (HIE)

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
MT012767GAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1596931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596931200000",
    "number": "1396355897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 OLD MILL RD",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307368020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 OLD MILL RD # 9373535",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307368020",
            "telephone_number": "706-937-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANSOM",
        "first_name": "NICOLE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "LMT, MMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-09",
        "last_updated": "2020-08-09",
        "certification_date": "2020-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT012767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY",
            "identifier": "MT08501",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MASSAGE",
            "identifier": "MT012767",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "mahesticspaandsalon@gmail.com",
            "affiliation": "N",
            "address_1": "838 Old Mill Rd # 9373535",
            "city": "Ringgold",
            "state": "GA",
            "country_code": "US",
            "postal_code": "307368020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Majesticspaandslaon@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "838 Old Mill Rd # 9373535",
            "city": "Ringgold",
            "state": "GA",
            "country_code": "US",
            "postal_code": "307368020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ringgold, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2020; 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.