Active NPI
Tina Whitehead, LMT
- Massage Therapist
- Starkville, MS
National Provider Identifier
1477174928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2732
- Practice address
- 112 Willow Rd
Starkville, MS 39759-3637 - Phone
- (662) 769-1143
- NPI assigned
- May 6, 2020
- Last updated
- Oct 6, 2024
- 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 | 2732 | MS | Primary |
Addresses
Primary practice location
112 Willow Rd
Starkville, MS 39759-3637
Mailing address
110 Lynn LN Apt 17B
Starkville, MS 39759-3979
Phone (662) 769-1143
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 |
|---|---|---|---|
| 2732 | MS | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coming Home Massage | Massage Therapist | Current | Accepting new patients |
Locations
112 Willow Rd
Starkville, MS 39759
Phone (662) 769-1143
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.
-
- Massage Therapist
- Starkville, MS
- NPI 1861212946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728172800000",
"number": "1477174928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 LYNN LN APT 17B",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397593979",
"telephone_number": "662-769-1143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 WILLOW RD",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397593637",
"telephone_number": "662-769-1143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITEHEAD",
"first_name": "TINA",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-06",
"last_updated": "2024-10-06",
"certification_date": "2024-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MS",
"license": "2732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Starkville, MS
- Blake Whatley, DPT, ATC/L, M.ED
- Lindsey Landreneau Whatley, DPT
- Gregory Allen Whitaker, RPH
- Kelly M White, MS, RD, LD
- Margaret Hyer White, FNP
- Kerri Jo Whittington, PMHNP-BC
- Johnnie Susan Cooper Wijewardane, PHD, FNP
- Wilbea Medical Equipment LLC
- William Bell Montgomery, LLC (Montgomery Gardens)
- Allyn F Williams, LPC, NCSC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.