Individual provider Active NPI

Carmel Chilton, MASSAGE THERAPIST

  • Massage Therapist
  • Waikoloa, HI
National Provider Identifier
1760203764
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MAT-17814-0 Issued in HI
Practice address
68-3840 Lua Kula St
Admin 3
Waikoloa, HI 96738
Phone
(808) 909-3111
NPI assigned
Oct 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MAT-17814-0 HI Primary

Addresses

Primary practice location

68-3840 Lua Kula St
Admin 3
Waikoloa, HI 96738

Mailing address

PO Box 1994
Kamuela, HI 96743-1994
Phone (808) 381-8301

Other practice location 1

75-5995 Kuakini Hwy
Kailua Kona, HI 96740-2144
Phone (808) 909-3111

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
MAT-17814-0HIMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1760203764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1994",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967431994",
            "telephone_number": "808-381-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68-3840 LUA KULA ST",
            "address_2": "ADMIN 3",
            "city": "WAIKOLOA",
            "state": "HI",
            "postal_code": "96738",
            "telephone_number": "808-909-3111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75-5995 Kuakini Hwy",
            "address_purpose": "LOCATION",
            "city": "Kailua Kona",
            "state": "HI",
            "postal_code": "967402144",
            "country_code": "US",
            "telephone_number": "808-909-3111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHILTON",
        "first_name": "CARMEL",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MAT-17814-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waikoloa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.

Verify at the official NPI Registry.