Adrienne Elizabeth Wilson, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MASG-1863 Issued in ID

Practice address

16150 N High Desert St Ste 112
Nampa, ID 83687-5567

Phone

(208) 442-1123

NPI assigned

Nov 18, 2014

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

Practice roles

Locations

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.

• Oberti Chiropractic Inc

  • Chiropractor
  • Nampa, ID
  • NPI 1780074856
  NPD

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1710383799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E FAIRVIEW AVE TRLR 195",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836423325",
            "telephone_number": "208-809-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16150 N HIGH DESERT ST STE 112",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836875567",
            "telephone_number": "208-442-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ADRIENNE",
        "middle_name": "ELIZABETH",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-18",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MASG-1863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan J. Williams, MD
• Tori Williams
• Vivian Williams, OTD, OTR/L
• Courtney Willis, DMD
• Willow Mental Health Counseling
• Alex Allen Wilson
• Alexandra Hollingshead Wilson, OD
• Brian Mitchell Wilson, OTR
• Jacob W. Wilson, LCSW
• Kendall Ann Wilson

• Massage Therapist in Nampa, ID
• Providers in Nampa, ID by specialty
• Massage Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.