Elise Dawn McCutcheon, LMBT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

17820 Issued in NC

Practice address

18605 Ruffner Dr Unit 1E
Cornelius, NC 28031-9020

Phone

(858) 337-2040

NPI assigned

Nov 15, 2007

Last updated

Sep 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pacific Clinics

  • Community/Behavioral Health Agency
  • Ontario, CA
  • NPI 1902273923
  NPD (past)

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1629259858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18605 RUFFNER DR UNIT 1E",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280319020",
            "telephone_number": "858-337-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18605 RUFFNER DR UNIT 1E",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280319020",
            "telephone_number": "858-337-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUTCHEON",
        "first_name": "ELISE",
        "middle_name": "DAWN",
        "credential": "LMBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "17820",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Paige Maurer, MA, NCC, LCMHCA
• Jeshrine Mazhil
• Mary-Clara Pearl McAlister
• Rebecca C McCall, DNM
• Jamie Marie McChesney, RBT
• Mary Elizabeth McEwen, M.ED CCC-SLP
• Kaitlyn McFarland, DPT
• Mary Jane McGill, LCMHC-S, LCAS, CCS
• Mallory McGinnis
• Kenneth R McGrath, DDS

• Massage Therapist in Cornelius, NC
• Providers in Cornelius, 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 Sep 9, 2020; 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.