Active NPI
Nichole Nellie Wambsgans
- Massage Therapist
- Hope Mills, NC
National Provider Identifier
1750104196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 13570
- Practice address
- 3077 N Main St Ste 201
Hope Mills, NC 28348-1735 - Phone
- (910) 275-5766
- Fax
- (866) 990-0668
- NPI assigned
- Nov 4, 2024
- 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 | 13570 | NC | Primary |
Addresses
Primary practice location
3077 N Main St Ste 201
Hope Mills, NC 28348-1735
Mailing address
405 Bernstein St
Fort Liberty, NC 28307-2103
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 |
|---|---|---|---|
| 13570 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1750104196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 BERNSTEIN ST",
"city": "FORT LIBERTY",
"state": "NC",
"postal_code": "283072103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3077 N MAIN ST STE 201",
"city": "HOPE MILLS",
"state": "NC",
"postal_code": "283481735",
"telephone_number": "910-275-5766",
"fax_number": "866-990-0668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAMBSGANS",
"first_name": "NICHOLE",
"middle_name": "NELLIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-04",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "13570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hope Mills, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.