Nicoles Elysian Massage

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

NICOLES ELYSIAN MASSAGE

Practice address

561 S Park Ave
Buffalo, NY 14204-2627

Phone

(716) 465-9703

NPI assigned

May 21, 2024

Organization subpart

No

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

Authorized official

Name

Tamika HallNPI 1073187209

Title

Licensed Massage Therapist

Phone

(716) 559-6626

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tamika Hall

  • Massage Therapist
  • Buffalo, NY
  • NPI 1073187209
  NPD Authorized official

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1770322687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 ERB ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153950",
            "telephone_number": "716-559-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 S PARK AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142042627",
            "telephone_number": "716-465-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLES ELYSIAN MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "TAMIKA",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "716-559-6626"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Nicholson, NURSE PRACTITIONER
• Nickel City Group, LLC
• Nickel City Pharmacy Inc
• Debbie Nickson
• Dia Helen Nicolatos, LCSWR
• Lori Nicolini
• Amy Nicosia Boeckel
• Karen A Nicosia, RPH
• Kelsey Nicosia, PSYD
• Norma Nicosia

• Massage Therapist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.