Active NPI
Savannah Elizabeth Eary Fulton I, LMBT
- Massage Therapist
- Raleigh, NC
National Provider Identifier
1568982676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 14122
- Practice address
- 7406 Chapel Hill Rd Ste K
Raleigh, NC 27607-5039 - Phone
- (919) 813-0978
- Fax
- (919) 813-0978
- NPI assigned
- Jun 21, 2017
- 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 | 14122 | NC | Primary |
Addresses
Primary practice location
7406 Chapel Hill Rd Ste K
Raleigh, NC 27607-5039
Mailing address
5705 Turner Store LN
Raleigh, NC 27603-7977
Phone (919) 741-9506
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 |
|---|---|---|---|
| 14122 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Therapeutic Massage | Single Specialty | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498003200000",
"number": "1568982676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5705 TURNER STORE LN",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276037977",
"telephone_number": "919-741-9506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7406 CHAPEL HILL RD STE K",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276075039",
"telephone_number": "919-813-0978",
"fax_number": "919-813-0978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULTON",
"first_name": "SAVANNAH",
"middle_name": "ELIZABETH EARY",
"name_prefix": "Miss",
"name_suffix": "I",
"credential": "LMBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-21",
"last_updated": "2017-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "NC",
"license": "14122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.