Divine Essence Total Bodycare, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

11590 Issued in NC

Legal business name

DIVINE ESSENCE TOTAL BODYCARE, LLC

Practice address

16507 Northcross Dr
Suite H
Huntersville, NC 28078-5082

Phone

(704) 891-8683

NPI assigned

Dec 17, 2014

Last updated

Dec 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Quanyetta DelgadoNPI 1164823720

Title

LMBT, MMT

Phone

(704) 891-8683

Specialties & licenses 1

Addresses

Other names 1

• Divine Essence Massage Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Quanyetta Delgado, LMBT

  • Massage Therapist
  • Huntersville, NC
  • NPI 1164823720
  NPD (past) Authorized official

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1609274018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16507 NORTHCROSS DR",
            "address_2": "SUITE H",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785082",
            "telephone_number": "704-891-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16507 NORTHCROSS DR",
            "address_2": "SUITE H",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785082",
            "telephone_number": "704-891-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE ESSENCE TOTAL BODYCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "QUANYETTA",
        "authorized_official_title_or_position": "LMBT, MMT",
        "authorized_official_telephone_number": "704-891-8683"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "11590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Essence Massage",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Massage Therapist in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Massage Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.