Active NPI
Beth L Gideon
- Massage Therapist
- Ord, NE
National Provider Identifier
1467934265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 3678
- Practice address
- 232 South 16TH Street
Ord, NE 68862 - Phone
- (308) 728-9986
- Fax
- (308) 728-9987
- NPI assigned
- Aug 29, 2018
- 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 | 3678 | NE | Primary |
Addresses
Primary practice location
232 South 16TH Street
Ord, NE 68862
Mailing address
232 South 16TH Street
Ord, NE 68862
Phone (308) 728-9986
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 |
|---|---|---|---|
| 3678 | NE | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ord Sports Chiropractic and Wellness, LLC | Massage Therapist | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535500800000",
"number": "1467934265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 SOUTH 16TH STREET",
"city": "ORD",
"state": "NE",
"postal_code": "68862",
"telephone_number": "308-728-9986",
"fax_number": "308-728-9987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 SOUTH 16TH STREET",
"city": "ORD",
"state": "NE",
"postal_code": "68862",
"telephone_number": "308-728-9986",
"fax_number": "308-728-9987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIDEON",
"first_name": "BETH",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-29",
"last_updated": "2018-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NE",
"license": "3678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ord, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.