Phyllis Alanya Nunn, MT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

172141 Issued in KY

Practice address

840 N 24TH St
Paducah, KY 42001-3028

Phone

(270) 519-3514

Fax

(270) 494-2172

NPI assigned

Jun 17, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Phyllis A Williams Former name

Electronic endpoints 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

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.

• Millstone Counseling Center

  • Addiction (Substance Use Disorder) Counselor
  • Paducah, KY
  • NPI 1053638650
  NPD (past)
• Millstone Counseling Center

  • Addiction (Substance Use Disorder) Counselor
  • Paducah, KY
  • NPI 1902446586
  NPD (past)

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1760042469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 N 24TH ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420013028",
            "telephone_number": "270-519-3514",
            "fax_number": "270-494-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 N 24TH ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420013028",
            "telephone_number": "270-519-3514",
            "fax_number": "270-494-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNN",
        "first_name": "PHYLLIS",
        "middle_name": "ALANYA",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "KY",
            "license": "172141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1760042469",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Phyllis@serenevalleymassage.com",
            "affiliation": "N",
            "address_1": "4001 Hansen Rd",
            "city": "Paducah",
            "state": "KY",
            "country_code": "US",
            "postal_code": "420019784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PHYLLIS",
            "last_name": "WILLIAMS",
            "middle_name": "A",
            "credential": "MT CERTIFICATION",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brandy M Nolan
• Leta Jeanette Norman, MED, LPCC
• Erin Northington, LCSW
• Vanessa Norwood McGregor, APRN
• Brittany M Nunn, SLP
• Emili Mehgan O'Boyle, CNM
• O'Bryan Family Medicine PLLC
• O'Bryan Physical Therapy
• Joseph M O'Bryan, MD
• Daniel O'Connor, OD

• Massage Therapist in Paducah, KY
• Providers in Paducah, KY by specialty
• Massage Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.