Individual provider Active NPI

Stacy Nihipali, L.M.T.

  • Massage Therapist
  • Draper, UT
National Provider Identifier
1487194312
Registry record updated Feb 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
377499-4701 Issued in UT
Practice address
13552 S 110 W
Ste 204
Draper, UT 84020-2401
Phone
(801) 815-8929
Fax
(801) 303-5040
NPI assigned
Feb 25, 2017
Last updated
Feb 25, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 377499-4701 UT Primary

Addresses

Primary practice location

13552 S 110 W
Ste 204
Draper, UT 84020-2401

Mailing address

13552 S 110 W
Ste 204
Draper, UT 84020-2401
Phone (801) 815-8929

Other names 1

  • Stacy Bleggi Former name

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

LicenseStateTypeSpecialty
377499-4701UTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Performance Health Center, PC 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": "1487980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487980800000",
    "number": "1487194312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13552 S 110 W",
            "address_2": "STE 204",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840202401",
            "telephone_number": "801-815-8929",
            "fax_number": "801-303-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13552 S 110 W",
            "address_2": "STE 204",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840202401",
            "telephone_number": "801-815-8929",
            "fax_number": "801-303-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIHIPALI",
        "first_name": "STACY",
        "name_prefix": "Mrs.",
        "credential": "L.M.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-25",
        "last_updated": "2017-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "377499-4701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "BLEGGI",
            "credential": "L.M.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.