Active NPI
Phyllis Rose Hawkins, LMBT
- Massage Therapist
- Raeford, NC
National Provider Identifier
1558858282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 14015
- Practice address
- 207 Van Buren Dr
Raeford, NC 28376-9418 - Phone
- (910) 479-4306
- NPI assigned
- Apr 18, 2018
- 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 | 14015 | NC | Primary |
Addresses
Primary practice location
207 Van Buren Dr
Raeford, NC 28376-9418
Mailing address
207 Van Buren Dr
Raeford, NC 28376-9418
Phone (910) 479-4306
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 |
|---|---|---|---|
| 14015 | NC | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524009600000",
"number": "1558858282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 VAN BUREN DR",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283769418",
"telephone_number": "910-479-4306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 VAN BUREN DR",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283769418",
"telephone_number": "910-479-4306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "PHYLLIS",
"middle_name": "ROSE",
"credential": "LMBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-18",
"last_updated": "2018-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "14015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raeford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.