Active NPI
Hannah Kistler, LMT
- Massage Therapist
- Goose Creek, SC
National Provider Identifier
1487354718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 10596
- Practice address
- 216 Mayfield Dr
Goose Creek, SC 29445-7319 - Phone
- (843) 693-6980
- NPI assigned
- Mar 6, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 10596 | SC | Primary |
| Massage Therapist | 225700000X | 20851 | NC |
Addresses
Primary practice location
216 Mayfield Dr
Goose Creek, SC 29445-7319
Mailing address
216 Mayfield Dr
Goose Creek, SC 29445-7319
Phone (843) 693-6980
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 |
|---|---|---|---|
| 10596 | SC | MD | Social Worker |
| 20851 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1487354718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 MAYFIELD DR",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294457319",
"telephone_number": "843-693-6980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 MAYFIELD DR",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294457319",
"telephone_number": "843-693-6980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISTLER",
"first_name": "HANNAH",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-06",
"last_updated": "2023-03-06",
"certification_date": "2023-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "SC",
"license": "10596",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "20851",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goose Creek, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.