Meesha Tavares, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT11919 Issued in SD

Practice address

405 E Omaha St Ste D
Rapid City, SD 57701-2974

Phone

(605) 348-2116

NPI assigned

Jul 19, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1578298154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11641 ELLIOTT RD",
            "city": "CUSTER",
            "state": "SD",
            "postal_code": "577308238",
            "telephone_number": "208-971-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E OMAHA ST STE D",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012974",
            "telephone_number": "605-348-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVARES",
        "first_name": "MEESHA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SD",
            "license": "MT11919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Chirotouch",
            "affiliation": "N",
            "endpointDescription": "PHI software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HCFA",
            "address_1": "405 E Omaha St Ste D",
            "city": "Rapid City",
            "state": "SD",
            "country_code": "US",
            "postal_code": "577012974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kenneth James Talbot, PA-C
• Deanne Tamang, M.D.
• Stephen Tamang, MD
• Kristy Tanner
• Kathyayini Tappeta, MD
• Angela Jane Taylor, B.S
• Jared Lynn Taylor, D.M.D.
• Tracy A Taylor
• Brooke Tedford
• Lukas Tedford, BS

• Massage Therapist in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Massage Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.