Active NPI
Nicole Eshom, L.C.M.
- Massage Therapist
- Rockwall, TX
National Provider Identifier
1760803191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT112934
- Practice address
- 860 E Ralph Hall Pkwy
Ste 46
Rockwall, TX 75032-6877 - Phone
- (214) 592-2234
- NPI assigned
- Jan 3, 2014
- 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 | MT112934 | TX | Primary |
Addresses
Primary practice location
860 E Ralph Hall Pkwy
Ste 46
Rockwall, TX 75032-6877
Mailing address
860 E Ralph Hall Pkwy
Ste 46
Royse City, TX 75189
Phone (214) 592-2234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT112934 | Other | TX | MASSAGE THERAPY LICENSE |
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 |
|---|---|---|---|
| MT112934 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388707200000",
"number": "1760803191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 E RALPH HALL PKWY",
"address_2": "STE 46",
"city": "ROYSE CITY",
"state": "TX",
"postal_code": "75189",
"telephone_number": "214-592-2234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 E RALPH HALL PKWY",
"address_2": "STE 46",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750326877",
"telephone_number": "214-592-2234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESHOM",
"first_name": "NICOLE",
"credential": "L.C.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-03",
"last_updated": "2014-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT112934",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPY LICENSE",
"identifier": "MT112934",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.