Active NPI
Michele Elane Clephane, L.M.B.T.
- Massage Therapist
- Fuquay Varina, NC
National Provider Identifier
1396938957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 3354
- Practice address
- 900 Cahlfield CT
Fuquay Varina, NC 27526-1698 - Phone
- (919) 389-5103
- NPI assigned
- Aug 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 3354 | NC | Primary |
Addresses
Primary practice location
900 Cahlfield CT
Fuquay Varina, NC 27526-1698
Mailing address
900 Cahlfield CT
Fuquay Varina, NC 27526-1698
Phone (919) 389-5103
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 |
|---|---|---|---|
| 3354 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188172800000",
"number": "1396938957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 CAHLFIELD CT",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275261698",
"telephone_number": "919-389-5103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 CAHLFIELD CT",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275261698",
"telephone_number": "919-389-5103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEPHANE",
"first_name": "MICHELE",
"middle_name": "ELANE",
"credential": "L.M.B.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-27",
"last_updated": "2007-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "3354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fuquay Varina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.