Angela D Honackie, LMT, RYT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0000013215 Issued in TN

Practice address

5564 Little Debbie Pkwy
Suite 108
Collegedale, TN 37363

Phone

(423) 498-3400

Fax

(423) 498-3401

NPI assigned

Jun 2, 2020

Sex

Female

Sole proprietor

No

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.

• Ooltewah Reach Health and Wellness PLLC

  • Chiropractor
  • Collegedale, TN
  • NPI 1861196495
  NPD

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1710501176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5564 LITTLE DEBBIE PKWY",
            "address_2": "SUITE 108",
            "city": "COLLEGEDALE",
            "state": "TN",
            "postal_code": "37363",
            "telephone_number": "423-498-3400",
            "fax_number": "423-498-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5564 LITTLE DEBBIE PKWY",
            "address_2": "SUITE 108",
            "city": "COLLEGEDALE",
            "state": "TN",
            "postal_code": "37363",
            "telephone_number": "423-498-3400",
            "fax_number": "423-498-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONACKIE",
        "first_name": "ANGELA",
        "middle_name": "D",
        "credential": "LMT, RYT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TN",
            "license": "0000013215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Consolidated Resources Health Care Fund I LP (Life Care Center of Collegedale)
• Liane Videres De Souza, LPC
• Christian Alexander Givens, MD
• Marina S Habib
• Silvana Ferreira Hartner
• Kim Jackson
• Joy Chiropractic Clinic, Inc.
• Grace Juby Johnson
• Erin Elizabeth Kaline
• Ryan Lavance Lee, DC

• Massage Therapist in Collegedale, TN
• Providers in Collegedale, TN by specialty
• Massage Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.