Active NPI
Heather Edwards
- Massage Therapist
- Mason, WV
National Provider Identifier
1649689852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 20010896
- Practice address
- 112 2ND St
Mason, WV 25260 - Phone
- (740) 416-1827
- NPI assigned
- Aug 13, 2014
- Last updated
- Aug 13, 2014
- 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 | 20010896 | WV | Primary |
Addresses
Primary practice location
112 2ND St
Mason, WV 25260
Mailing address
30877 Neece Rd
Middleport, OH 45760-9747
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 |
|---|---|---|---|
| 20010896 | WV | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407888000000",
"number": "1649689852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30877 NEECE RD",
"city": "MIDDLEPORT",
"state": "OH",
"postal_code": "457609747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 2ND ST",
"city": "MASON",
"state": "WV",
"postal_code": "25260",
"telephone_number": "740-416-1827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "HEATHER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-13",
"last_updated": "2014-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WV",
"license": "20010896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mason, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.