Active NPI
Kristin Tabatha Cauldwell, , NCLMBT, MMP
- Massage Therapist
- Leland, NC
National Provider Identifier
1437638749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 12165
- Practice address
- Compass Point Wellness Center
2308 E Oakbridge Way NE
Leland, NC 28451-0230 - Phone
- (919) 414-7909
- NPI assigned
- Aug 8, 2018
- Last updated
- Aug 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | 12165 | NC | |
| Massage Therapist | 225700000X | 12165 | NC | Primary |
Addresses
Primary practice location
Compass Point Wellness Center
2308 E Oakbridge Way NE
Leland, NC 28451-0230
Mailing address
8209 Ibis PT NE
Leland, NC 28451-8805
Phone (919) 414-7909
Other practice location 1
311 N 2nd St Ste 2
Wilmington, NC 28401-3955
Phone (919) 414-7909
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 |
|---|---|---|---|
| 12165 | NC | MD | Dentist Anesthesiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533686400000",
"number": "1437638749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8209 IBIS PT NE",
"city": "LELAND",
"state": "NC",
"postal_code": "284518805",
"telephone_number": "919-414-7909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COMPASS POINT WELLNESS CENTER",
"address_2": "2308 E OAKBRIDGE WAY NE",
"city": "LELAND",
"state": "NC",
"postal_code": "284510230",
"telephone_number": "919-414-7909"
}
],
"practiceLocations": [
{
"address_1": "311 N 2nd St Ste 2",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284013955",
"country_code": "US",
"telephone_number": "919-414-7909",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAULDWELL",
"first_name": "KRISTIN",
"middle_name": "TABATHA",
"name_prefix": "Miss",
"credential": ", NCLMBT, MMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-08",
"last_updated": "2018-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "NC",
"license": "12165",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "12165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leland, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.