Tamara Maria Purnell

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

R03340 Issued in MD

Practice address

12814 Shank Farm Way Ste D
Hagerstown, MD 21742-2949

Phone

(302) 725-9084

NPI assigned

Jun 16, 2021

Last updated

Jun 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Velvet Noire LLC

  • Massage Therapist
  • Dover, DE
  • NPI 1982527289
  Authorized official Same address or phone

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1427626290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12618 ROSENCRANS DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217401212",
            "telephone_number": "302-725-9084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12814 SHANK FARM WAY STE D",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422949",
            "telephone_number": "302-725-9084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURNELL",
        "first_name": "TAMARA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "DE",
            "license": "MT-0015118",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "R03340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole N Prum
• Psychological Counseling Services (None)
• Erwin Calvo Puente, MD
• Taryn Puhl
• Brandon Adam Purdy
• Ghazala NMN Qadir, M.D.
• Quality Care Internet, LLP
• Qualitycare Internet, LLP (QCI Behavioral Health, LLP)
• Qualitycare Internet, LLP (QCI Behavioral Health, LLP)
• Quickcare Virtual Clinic LLC

• Massage Therapist in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Massage Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.