Veronika Nyanyku Xiao

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MSG013243 Issued in PA

Practice address

103 N 7TH St
Stroudsburg, PA 18360-2154

Phone

(570) 726-1770

NPI assigned

Jul 31, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Veronika Nyanyku Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Clear Mountain, LLC

  • Massage Therapist
  • Stroudsburg, PA
  • NPI 1174496004
  NPD

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1427739606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 HALLETTS RD",
            "city": "MOUNT BETHEL",
            "state": "PA",
            "postal_code": "183435552",
            "telephone_number": "570-431-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N 7TH ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602154",
            "telephone_number": "570-726-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIAO",
        "first_name": "VERONIKA",
        "middle_name": "NYANYKU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG013243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERONIKA",
            "last_name": "NYANYKU",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Daniel Wright, PA-C
• Erica Wright, RN
• Wyckoff Chiropractic and Wellness
• Claes R Wyckoff, DC
• Pamela Moore Wyckoff, OT
• Sarah Lynn Yermal, RN, BSN
• Melissa Yetter, RN IBCLC
• Cecilia L Yost, ATC
• Sara Cinelli Young
• Azadeh Zadmehr, DDS

• Massage Therapist in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Massage Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.