Michelle McKinney Manning, LMBT, CMLDT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

15551 Issued in NC

Practice address

1151 Falls Rd Ste 2026
Rocky Mount, NC 27804-4429

Phone

(252) 813-7221

NPI assigned

Oct 24, 2022

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 identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: michelle@livingwell.us

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1427775014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 FOREST HILL AVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043735",
            "telephone_number": "252-813-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 FALLS RD STE 2026",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278044429",
            "telephone_number": "252-813-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY MANNING",
        "first_name": "MICHELLE",
        "credential": "LMBT, CMLDT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "15551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMBT STATE LICENSE MASSAGE BOARD",
            "identifier": "15551",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Michelle@Livingwell.us",
            "affiliation": "N",
            "endpointDescription": "private secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Mail",
            "address_1": "1151 Falls Rd Ste 2026",
            "city": "Rocky Mount",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278044429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "massagebook",
            "affiliation": "N",
            "endpointDescription": "online record keeping",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1151 Falls Rd Ste 2026",
            "city": "Rocky Mount",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278044429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Massage Therapist in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Massage Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.