Active NPI
Nina Anderson
- Massage Therapist
- Shelby Township, MI
National Provider Identifier
1538540596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501008357
- Practice address
- 47100 Schoenherr Rd Ste D
Shelby Township, MI 48315-4714 - Phone
- (586) 685-0505
- Fax
- (586) 685-0501
- NPI assigned
- Jun 16, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 7501008357 | MI | Primary |
Addresses
Primary practice location
47100 Schoenherr Rd Ste D
Shelby Township, MI 48315-4714
Mailing address
47100 Schoenherr Rd Ste D
Shelby Township, MI 48315-4714
Phone (586) 685-0505
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 |
|---|---|---|---|
| 7501008357 | MI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434412800000",
"number": "1538540596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47100 SCHOENHERR RD STE D",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483154714",
"telephone_number": "586-685-0505",
"fax_number": "586-685-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47100 SCHOENHERR RD STE D",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483154714",
"telephone_number": "586-685-0505",
"fax_number": "586-685-0501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "NINA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-16",
"last_updated": "2015-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "7501008357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelby Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.