Individual provider Active NPI

Angela Underwood, STNA, LMT

  • Massage Therapist
  • Cincinnati, OH
National Provider Identifier
1497184733
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
33.023467 Issued in OH
Practice address
230 Northland Blvd Ste 103B
Cincinnati, OH 45246-0007
Phone
(513) 400-7150
NPI assigned
Nov 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 400794740808 OH
Nurse's Aide 376K00000X
Massage Therapist 225700000X 33.023467 OH Primary
Adult Companion 372600000X
Home Health Aide 374U00000X
Homemaker 376J00000X

Addresses

Primary practice location

230 Northland Blvd Ste 103B
Cincinnati, OH 45246-0007

Mailing address

230 Northland Blvd Ste 103B
Cincinnati, OH 45246-0007
Phone (513) 400-7150

Other practice location 1

47 Aljoy Ct
Cincinnati, OH 45215-3608
Phone (513) 693-2864

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
33.023467OHMDMassage Therapist
400794740808OHMDNurse's Aide

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1497184733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 NORTHLAND BLVD STE 103B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452460007",
            "telephone_number": "513-400-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 NORTHLAND BLVD STE 103B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452460007",
            "telephone_number": "513-400-7150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 Aljoy Ct",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452153608",
            "country_code": "US",
            "telephone_number": "513-693-2864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "ANGELA",
        "name_prefix": "Ms.",
        "credential": "STNA, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "400794740808",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.023467",
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.

Verify at the official NPI Registry.