Active NPI
Nicole Waters, LMT
- Massage Therapist
- Spring Hill, FL
National Provider Identifier
1477164242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA94799
- Practice address
- 4831 Keysville Ave
Spring Hill, FL 34608-3317 - Phone
- (862) 596-1979
- NPI assigned
- Aug 13, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA94799 | Primary |
Addresses
Primary practice location
4831 Keysville Ave
Spring Hill, FL 34608-3317
Mailing address
PO Box 5603
Spring Hill, FL 34611-5603
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Springhill | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1477164242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5603",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346115603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4831 KEYSVILLE AVE",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346083317",
"telephone_number": "862-596-1979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATERS",
"first_name": "NICOLE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-13",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": "MA94799",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Springhill",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4831 Keysville Ave",
"city": "Spring Hill",
"state": "FL",
"country_code": "US",
"postal_code": "346083317",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Spring Hill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.