Nikki R. Whitlock, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

10698822-0151 Issued in UT

Practice address

1155 E Wilmington Ave Ste 250
Salt Lake City, UT 84106-7808

Phone

(831) 325-4288

NPI assigned

Jul 20, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Nikki Rae Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1568949733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 E SIERRA WAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062417",
            "telephone_number": "831-325-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 E WILMINGTON AVE STE 250",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841067808",
            "telephone_number": "831-325-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLOCK",
        "first_name": "NIKKI",
        "middle_name": "R.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "10698822-0151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKKI",
            "last_name": "RAE",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Stephanie Whiting
• Kayla Whitledge
• Randy Whitledge
• James A. Whitlock, MD
• Megan Whitlock, LCSW
• Jonica Whitmore-Hales
• Alison Breann Whitmore
• Adam Douglas Whitney
• Angela Whitney, RPH
• Sandra E Whitney, CNM

• Massage Therapist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Massage Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.

Verify at the official NPI Registry.