Active NPI
Angelic Leray Evans Elrod, LMBT
- Massage Therapist
- Sneads Ferry, NC
National Provider Identifier
1619685260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 12510
- Practice address
- 302 Fulcher Landing Rd
Sneads Ferry, NC 28460-6560 - Phone
- (910) 358-4027
- NPI assigned
- Nov 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12510 | NC | MD | Massage Therapist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 12510 | NC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
302 Fulcher Landing Rd
Sneads Ferry, NC 28460-6560
Mailing address
302 Fulcher Landing Rd
Sneads Ferry, NC 28460-6560
Phone (910) 358-4027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 14, 2022.
{
"created_epoch": "1668384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1619685260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 FULCHER LANDING RD",
"city": "SNEADS FERRY",
"state": "NC",
"postal_code": "284606560",
"telephone_number": "910-358-4027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 FULCHER LANDING RD",
"city": "SNEADS FERRY",
"state": "NC",
"postal_code": "284606560",
"telephone_number": "910-358-4027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELROD",
"first_name": "ANGELIC",
"middle_name": "LERAY EVANS",
"name_prefix": "Ms.",
"credential": "LMBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-14",
"last_updated": "2022-11-14",
"certification_date": "2022-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "12510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sneads Ferry, NC
- Michael James Davanzo, PA-C
- Amanda Dodson, CD(DONA), HBCE
- Franklin Tochukwu Duruobasa, MD
- Early Victories ABA LLC
- Alycia Eaton
- Samantha Ruth Ferguson, MSN, CPNP
- Jason Aaron Fix, SOIDC
- Lyndsey A Foster, RD
- Furtherance of Autism With Intervention, Treatment, and Health Service
- Heather Lynne Futrell, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.