Organization Active NPI

Knneka Enterprises

Doing business as Southside Wellness Studio

  • Massage Therapist
  • Huntington, WV
National Provider Identifier
1780207894
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
KNNEKA ENTERPRISES
Doing business as
Southside Wellness Studio
Practice address
835 12TH St
Huntington, WV 25701-2933
Phone
(304) 416-0096
NPI assigned
May 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Authorized official

Name
Krystal Nnneka ChukwuemekaNPI 1063761732
Title
Owner,LMT,Aesthetician
Phone
(304) 416-0096

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

835 12TH St
Huntington, WV 25701-2933

Mailing address

835 12TH St
Huntington, WV 25701-2933
Phone (304) 416-0096

Other names 1

  • Southside Wellness Studio Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL carpemanana11@gmail.com

National Provider Directory

National Provider Directory

Locations

835 12th St
Huntington, WV 25701
Phone (304) 416-0096

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1780207894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 12TH ST",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012933",
            "telephone_number": "304-416-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 12TH ST",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012933",
            "telephone_number": "304-416-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNNEKA ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "CHUKWUEMEKA",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "NNNEKA",
        "authorized_official_title_or_position": "OWNER,LMT,AESTHETICIAN",
        "authorized_official_telephone_number": "304-416-0096"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "carpemanana11@gmail.com",
            "affiliation": "N",
            "address_1": "835 12th St",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257012933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Southside Wellness Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.