Individual provider Active NPI

Susan Kelly Sanders

  • Massage Therapist
  • Ashland City, TN
National Provider Identifier
1730739913
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT0000002682 Issued in TN
Practice address
606B N Main St
Ashland City, TN 37015-1312
Phone
(615) 246-1333
NPI assigned
Sep 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ReflexologistGroup: 193200000X MULTI-SPECIALTY GROUP 173C00000X RCR000000484 TN
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MT0000002682 TN Primary

Addresses

Primary practice location

606B N Main St
Ashland City, TN 37015-1312

Mailing address

2565 Seven Acres Rd
Pleasant View, TN 37146-9109
Phone (615) 746-3500

Other practice location 1

2565 Seven Acres Rd
Pleasant View, TN 37146-9109
Phone (615) 746-3500

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

LicenseStateTypeSpecialty
RCR000000484TNMDReflexologist
MT0000002682TNMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1730739913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 SEVEN ACRES RD",
            "city": "PLEASANT VIEW",
            "state": "TN",
            "postal_code": "371469109",
            "telephone_number": "615-746-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606B N MAIN ST",
            "city": "ASHLAND CITY",
            "state": "TN",
            "postal_code": "370151312",
            "telephone_number": "615-246-1333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2565 Seven Acres Rd",
            "address_purpose": "LOCATION",
            "city": "Pleasant View",
            "state": "TN",
            "postal_code": "371469109",
            "country_code": "US",
            "telephone_number": "615-746-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "SUSAN",
        "middle_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Reflexologist",
            "state": "TN",
            "license": "RCR000000484",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "TN",
            "license": "MT0000002682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.