Active NPI
Stephanie Renee Dunn, LMT
- Massage Therapist
- Darien, GA
National Provider Identifier
1720636111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 010559
- Practice address
- 111 First St W
Darien, GA 31305-9460 - Phone
- (912) 269-3152
- NPI assigned
- Aug 28, 2019
- Last updated
- Aug 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 010559 | GA | Primary |
Addresses
Primary practice location
111 First St W
Darien, GA 31305-9460
Mailing address
111 First St W
Darien, GA 31305-9460
Phone (912) 269-3152
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566950400000",
"number": "1720636111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 FIRST ST W",
"city": "DARIEN",
"state": "GA",
"postal_code": "313059460",
"telephone_number": "912-269-3152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 FIRST ST W",
"city": "DARIEN",
"state": "GA",
"postal_code": "313059460",
"telephone_number": "912-269-3152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "STEPHANIE",
"middle_name": "RENEE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-28",
"last_updated": "2019-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "010559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Darien, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.