Individual provider Active NPI

Talisha Francessca Clinkscale

  • Massage Therapist
  • Chandler, AZ
National Provider Identifier
1407443500
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
11102 Issued in AZ
Practice address
3400 N Alma School Rd Apt 1052
Chandler, AZ 85224-8013
Phone
(602) 632-3546
NPI assigned
Dec 23, 2020
Last updated
Dec 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 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 11102 AZ Primary

Addresses

Primary practice location

3400 N Alma School Rd Apt 1052
Chandler, AZ 85224-8013

Mailing address

3400 N Alma School Rd Apt 1052
Chandler, AZ 85224-8013
Phone (602) 632-3546

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Www.Vagaro.com/buddhalovespa Other

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
11102AZMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1407443500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 N ALMA SCHOOL RD APT 1052",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852248013",
            "telephone_number": "602-632-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 N ALMA SCHOOL RD APT 1052",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852248013",
            "telephone_number": "602-632-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINKSCALE",
        "first_name": "TALISHA",
        "middle_name": "FRANCESSCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "11102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Www.Vagaro.com/buddhalovespa",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Www.Vagaro.com/buddhalovespa",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Massage therapist",
            "address_1": "3400 N Alma School Rd Apt 1052",
            "city": "Chandler",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852248013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.