Active NPI
Tamika Kennedy
- Massage Therapist
- New Orleans, LA
National Provider Identifier
1790238012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 4290
- Practice address
- 3863 Gentilly Blvd
New Orleans, LA 70122-6140 - Phone
- (504) 657-0045
- NPI assigned
- Aug 3, 2016
- Last updated
- Jan 22, 2021
- 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 | 4290 | LA | Primary |
Addresses
Primary practice location
3863 Gentilly Blvd
New Orleans, LA 70122-6140
Mailing address
134 N Broad St
New Orleans, LA 70119-5506
Phone (504) 657-0045
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | halosuitesdayspa@gmail.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 4290 | LA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611273600000",
"number": "1790238012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 N BROAD ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701195506",
"telephone_number": "504-657-0045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3863 GENTILLY BLVD",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701226140",
"telephone_number": "504-657-0045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "TAMIKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-03",
"last_updated": "2021-01-22",
"certification_date": "2021-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "LA",
"license": "4290",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "halosuitesdayspa@gmail.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "134 N Broad St",
"city": "New Orleans",
"state": "LA",
"country_code": "US",
"postal_code": "701195506",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.