Active NPI
Amanda Leigh Nault
- Massage Therapist
- Eureka, NV
National Provider Identifier
1740958420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 10061
- Practice address
- 250 S Main St
Eureka, NV 89316-1513 - Phone
- (218) 838-2103
- NPI assigned
- Aug 30, 2021
- 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 | 10061 | NV | Primary |
Addresses
Primary practice location
250 S Main St
Eureka, NV 89316-1513
Mailing address
250 S Main St
Eureka, NV 89316-1513
Phone (218) 838-2103
Other practice location 1
250 S Main St
Eureka, NV 89316-1513
Phone (218) 838-2103
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10061 | NV | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1740958420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 S MAIN ST",
"city": "EUREKA",
"state": "NV",
"postal_code": "893161513",
"telephone_number": "218-838-2103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 S MAIN ST",
"city": "EUREKA",
"state": "NV",
"postal_code": "893161513",
"telephone_number": "218-838-2103"
}
],
"practiceLocations": [
{
"address_1": "250 S Main St",
"address_purpose": "LOCATION",
"city": "Eureka",
"state": "NV",
"postal_code": "893161513",
"country_code": "US",
"telephone_number": "218-838-2103",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAULT",
"first_name": "AMANDA",
"middle_name": "LEIGH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-30",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NV",
"license": "10061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.