Active NPI
Allissa Marie Hughes
- Massage Therapist
- Lee's Summit, MO
National Provider Identifier
1609461623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2013003225
- Practice address
- 4025 NE Lakewood Way Ste 100
Lees Summit, MO 64064-2058 - Phone
- (816) 598-4363
- NPI assigned
- Mar 2, 2021
- Last updated
- Mar 2, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 2013003225 | MO | Primary |
Addresses
Primary practice location
4025 NE Lakewood Way Ste 100
Lees Summit, MO 64064-2058
Mailing address
1211 E South Ave
Independence, MO 64050-4757
Phone (816) 945-2708
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 |
|---|---|---|---|
| 2013003225 | MO | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastport Chiropractic, LLC | Current | Accepting new patients |
Locations
4025 NE Lakewood Way
Ste 100
Lees Summit, MO 64064
Phone (816) 287-8282
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614643200000",
"number": "1609461623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 E SOUTH AVE",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640504757",
"telephone_number": "816-945-2708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4025 NE LAKEWOOD WAY STE 100",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640642058",
"telephone_number": "816-598-4363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGHES",
"first_name": "ALLISSA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-02",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MO",
"license": "2013003225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lee's Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.