Active NPI
Amanda Rae Nickerson, LMT
- Massage Therapist
- Parker, CO
National Provider Identifier
1437796687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 10841 Crossroads Dr Ste 17
Parker, CO 80134-9090 - Phone
- (303) 841-7121
- NPI assigned
- Dec 6, 2019
- Last updated
- Dec 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
10841 Crossroads Dr Ste 17
Parker, CO 80134-9090
Mailing address
10841 Crossroads Dr Ste 17
Parker, CO 80134-9090
Other practice location 1
10841 Crossroads Dr Ste 17
Parker, CO 80134-9090
Phone (303) 841-7121
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hatch Chiropractic | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575590400000",
"number": "1437796687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10841 CROSSROADS DR STE 17",
"city": "PARKER",
"state": "CO",
"postal_code": "801349090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10841 CROSSROADS DR STE 17",
"city": "PARKER",
"state": "CO",
"postal_code": "801349090",
"telephone_number": "303-841-7121"
}
],
"practiceLocations": [
{
"address_1": "10841 Crossroads Dr Ste 17",
"address_purpose": "LOCATION",
"city": "Parker",
"state": "CO",
"postal_code": "801349090",
"country_code": "US",
"telephone_number": "303-841-7121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICKERSON",
"first_name": "AMANDA",
"middle_name": "RAE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-06",
"last_updated": "2019-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.