Amy Jo Norbom, LMBT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

16639 Issued in NC

Practice address

906 W 15TH St
Washington, NC 27889-3533

Phone

(360) 317-8684

NPI assigned

Oct 22, 2018

Last updated

Oct 22, 2018By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1649746116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 E 5TH ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894501",
            "telephone_number": "360-317-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 W 15TH ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893533",
            "telephone_number": "360-317-8684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORBOM",
        "first_name": "AMY",
        "middle_name": "JO",
        "credential": "LMBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "16639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Washington, NC
• Providers in Washington, 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 Oct 22, 2018; 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.