Nicole Beaumont, LMT CMMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

025634 Issued in NY

Practice address

18341 Dunlop Ave
Jamaica, NY 11412-1511

Phone

(718) 513-9543

NPI assigned

Sep 3, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Beautiful Mountain Massage Therapy P.C

  • Massage Therapist
  • Jamaica, NY
  • NPI 1467120410
  NPD Authorized official

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1780352724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20417 HILLSIDE AVE STE 209",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232213",
            "telephone_number": "718-513-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18341 DUNLOP AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114121511",
            "telephone_number": "718-513-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUMONT",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LMT CMMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "025634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve Bazelais
• Bbo Holdings, Inc
• BBSJ Dental Care PC
• James Matthew Beattie, LMSW
• Islande Prosper Beaulieu, MD
• Beautiful Mountain Massage Therapy P.C
• Beauty Rest, Inc.
• Sebastien Beauzile
• Stephen E. Beck, M.D.
• Jonathan Beckerman, LCSW

• Massage Therapist in Jamaica, NY
• Providers in Jamaica, 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 Sep 3, 2021; 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.