Active NPI
Nicole Stokes
- Massage Therapist
- Halethorpe, MD
National Provider Identifier
1407261126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- M04813
- Practice address
- 5515 Selma Ave
Halethorpe, MD 21227-2854 - Phone
- (410) 501-3976
- NPI assigned
- Jun 23, 2014
- 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 | M04813 | MD | Primary |
Addresses
Primary practice location
5515 Selma Ave
Halethorpe, MD 21227-2854
Mailing address
701 Wildwood Park Way
Baltimore, MD 21229
Phone (443) 804-3999
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 |
|---|---|---|---|
| M04813 | MD | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403481600000",
"number": "1407261126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 WILDWOOD PARK WAY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21229",
"telephone_number": "443-804-3999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5515 SELMA AVE",
"city": "HALETHORPE",
"state": "MD",
"postal_code": "212272854",
"telephone_number": "410-501-3976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOKES",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-23",
"last_updated": "2014-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MD",
"license": "M04813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Halethorpe, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.