Individual provider Active NPI

Xaveira Williams, LMBT

  • Massage Therapist
  • Fayetteville, NC
National Provider Identifier
1801660865
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
17043 Issued in NC
Practice address
6506 Dental LN Ste 102
Fayetteville, NC 28314-0383
Phone
(910) 487-3002
NPI assigned
Nov 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 17043 NC Primary

Addresses

Primary practice location

6506 Dental LN Ste 102
Fayetteville, NC 28314-0383

Mailing address

6506 Dental LN Ste 102
Fayetteville, NC 28314-0383
Phone (910) 487-3002

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

LicenseStateTypeSpecialty
17043NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Me Time Day Spa Massage Therapist CurrentSince Nov 12, 2023 Accepting new patients

Locations

6506 Dental Ln
Ste 102
Fayetteville, NC 28314
Phone (910) 487-3002

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1801660865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6506 DENTAL LN STE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283140383",
            "telephone_number": "910-487-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6506 DENTAL LN STE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283140383",
            "telephone_number": "910-487-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "XAVEIRA",
        "credential": "LMBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "17043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.