Active NPI
Emily Duden, LMT
- Massage Therapist
- Warner Robins, GA
National Provider Identifier
1699222893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT9570
- Practice address
- 158 S Houston Lake Rd
Ste 2
Warner Robins, GA 31088-8017 - Phone
- (478) 202-7260
- NPI assigned
- Sep 6, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reflexologist | 173C00000X | MT009570 | GA | |
| Massage Therapist | 225700000X | MT9570 | GA | Primary |
Addresses
Primary practice location
158 S Houston Lake Rd
Ste 2
Warner Robins, GA 31088-8017
Mailing address
158 S Houston Lake Rd
Ste 2
Warner Robins, GA 31088-8017
Phone (478) 202-7260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT009570 | Other | GA | LICENSED MASSAGE THERAPST |
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 |
|---|---|---|---|
| MT009570 | GA | MD | Reflexologist |
| MT9570 | GA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pamper Me Foot Spa | Reflexologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473120000000",
"number": "1699222893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 S HOUSTON LAKE RD",
"address_2": "STE 2",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310888017",
"telephone_number": "478-202-7260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 S HOUSTON LAKE RD",
"address_2": "STE 2",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310888017",
"telephone_number": "478-202-7260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDEN",
"first_name": "EMILY",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-06",
"last_updated": "2016-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": "GA",
"license": "MT009570",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT9570",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED MASSAGE THERAPST",
"identifier": "MT009570",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.