Angel S. Brown, MT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0019016353 Issued in VA

Practice address

4051 Cedar LN
Portsmouth, VA 23703-2003

Phone

(757) 535-7234

NPI assigned

Dec 26, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

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.

• Pure Royal Finesse LLC

  • Massage Therapist
  • Portsmouth, VA
  • NPI 1558908582
  NPD Authorized official

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1730728544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4051 CEDAR LN",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237032003",
            "telephone_number": "757-535-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 CEDAR LN",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237032003",
            "telephone_number": "757-535-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ANGEL",
        "middle_name": "S.",
        "credential": "MT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-26",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019016353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1558908582",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Gerald Brooks, MD
• Milan Niah Brooks
• Rebekah R. Brooks, CRNA
• William Richard Brooks, MD
• Brookshaven LLC
• Anna W. Brown, NP
• Anthony Rolando Brown Sr.
• Chawn T Brown
• Fraya C Brown
• Jaclyn Brown

• Massage Therapist in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Massage Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.

Verify at the official NPI Registry.