Ericandre Anjounique, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

6145683-4701 Issued in UT

Practice address

42 N 200 E Ste 1
American Fork, UT 84003-1739

Phone

(801) 396-8850

NPI assigned

Apr 19, 2019

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr Carmel Ferreira PLLC

  • Naturopath
  • American Fork, UT
  • NPI 1447813985

  Massage Therapist

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 11, 2019.

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1508429036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8043 N RIDGE LOOP E APT J9",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840054648",
            "telephone_number": "435-709-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 N 200 E STE 1",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840031739",
            "telephone_number": "801-396-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANJOUNIQUE",
        "first_name": "ERICANDRE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "6145683-4701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HTTPS://DOPL.UTAH.GOV/",
            "identifier": "6145683-4701",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John A. Anderson, DDS
• Vickie L Anderson, A.P.R.N.
• Victoria E Anderson, PHD
• Bradley B Andrew, P.A.
• Merynn Betty Anholt
• Aziza Arana
• Nickolas Arbon
• Arizona Medical Supply
• Arizona Medical Supply
• Abigail Armstrong

• All providers in American Fork, UT
• Massage Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.