Active NPI
Johnnye J. Yates, LMT
- Massage Therapist
- Huntsville, AL
National Provider Identifier
1508562943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 5398
- Practice address
- 130 Spinnaker Ridge Dr SW Apt C112
Huntsville, AL 35824-1315 - Phone
- (318) 218-5634
- NPI assigned
- Feb 7, 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 | 5398 | AL | Primary |
Addresses
Primary practice location
130 Spinnaker Ridge Dr SW Apt C112
Huntsville, AL 35824-1315
Mailing address
130 Spinnaker Ridge Dr SW Apt C112
Huntsville, AL 35824-1315
Phone (318) 218-5634
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5398 | Other | AL | MASSAGE THERAPIST |
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 |
|---|---|---|---|
| 5398 | AL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675814400000",
"number": "1508562943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 SPINNAKER RIDGE DR SW APT C112",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358241315",
"telephone_number": "318-218-5634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 SPINNAKER RIDGE DR SW APT C112",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358241315",
"telephone_number": "318-218-5634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YATES",
"first_name": "JOHNNYE",
"middle_name": "J.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-07",
"last_updated": "2023-02-08",
"certification_date": "2023-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AL",
"license": "5398",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPIST",
"identifier": "5398",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.