Active NPI
Nicole Marie McKeone, LMT.
- Massage Therapist
- Lockport, NY
National Provider Identifier
1548528631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 27019922
- Practice address
- 5854 A Snyder Dr.
Lockport, NY 14094 - Phone
- (716) 392-1550
- Fax
- (716) 434-3868
- NPI assigned
- Apr 26, 2012
- 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 | 27019922 | NY | Primary |
Addresses
Primary practice location
5854 A Snyder Dr.
Lockport, NY 14094
Mailing address
570 Niagra Falls Blvd
Tonawanda, NY 14223
Phone (716) 392-1550
Other names 1
- Miss Nicole Marie Huntington
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 |
|---|---|---|---|
| 27019922 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riches Chiropractic PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Health Service Clinic/Center
- Lockport, NY
- NPI 1063792596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335398400000",
"number": "1548528631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "570 NIAGRA FALLS BLVD",
"city": "TONAWANDA",
"state": "NY",
"postal_code": "14223",
"telephone_number": "716-392-1550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5854 A SNYDER DR.",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "14094",
"telephone_number": "716-392-1550",
"fax_number": "716-434-3868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKEONE",
"first_name": "NICOLE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LMT.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-26",
"last_updated": "2012-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "27019922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "HUNTINGTON",
"middle_name": "MARIE",
"prefix": "MISS",
"credential": "LMT.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lockport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.