Active NPI
Lindsey Grace Gately
- Massage Therapist
- Vass, NC
National Provider Identifier
1639958309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 18992
- Practice address
- 146 Seaboard St
Vass, NC 28394 - Phone
- (719) 355-0290
- NPI assigned
- Sep 22, 2023
- 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 | 18992 | NC | Primary |
Addresses
Primary practice location
146 Seaboard St
Vass, NC 28394
Mailing address
1143 Greenbriar Dr
Vass, NC 28394-9199
Phone (719) 355-0290
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 |
|---|---|---|---|
| 18992 | NC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695340800000",
"number": "1639958309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1143 GREENBRIAR DR",
"city": "VASS",
"state": "NC",
"postal_code": "283949199",
"telephone_number": "719-355-0290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 SEABOARD ST",
"city": "VASS",
"state": "NC",
"postal_code": "28394",
"telephone_number": "719-355-0290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATELY",
"first_name": "LINDSEY",
"middle_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-22",
"last_updated": "2023-09-22",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "18992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vass, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.