Active NPI
Crystal Gay White, LMT
- Massage Therapist
- Tazewell, VA
National Provider Identifier
1508560053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0019006921
- Practice address
- 181 Campbell LN
Tazewell, VA 24651-9784 - Phone
- (304) 922-4873
- NPI assigned
- Mar 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 0019006921 | VA | Primary |
Addresses
Primary practice location
181 Campbell LN
Tazewell, VA 24651-9784
Mailing address
181 Campbell LN
Tazewell, VA 24651-9784
Phone (304) 922-4873
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 |
|---|---|---|---|
| 0019006921 | VA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680048000000",
"number": "1508560053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 CAMPBELL LN",
"city": "TAZEWELL",
"state": "VA",
"postal_code": "246519784",
"telephone_number": "304-922-4873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 CAMPBELL LN",
"city": "TAZEWELL",
"state": "VA",
"postal_code": "246519784",
"telephone_number": "304-922-4873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "CRYSTAL",
"middle_name": "GAY",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-29",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "VA",
"license": "0019006921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tazewell, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.