Active NPI
Aud Elaine Yearick, LMT
- Massage Therapist
- Lock Haven, PA
National Provider Identifier
1811339864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MSG004415
- Practice address
- 108 Woodward Ave
Lock Haven, PA 17745-1625 - Phone
- (570) 748-4505
- NPI assigned
- Jul 18, 2013
- 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 | MSG004415 | PA | Primary |
Addresses
Primary practice location
108 Woodward Ave
Lock Haven, PA 17745-1625
Mailing address
108 Woodward Ave
Lock Haven, PA 17745-1625
Phone (570) 748-4505
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 |
|---|---|---|---|
| MSG004415 | PA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Time Out Wellness Center & Day Spa | Past | Accepting new patients |
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.
-
- Clinic/Center
- Lock Haven, PA
- NPI 1669874335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374105600000",
"number": "1811339864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 WOODWARD AVE",
"city": "LOCK HAVEN",
"state": "PA",
"postal_code": "177451625",
"telephone_number": "570-748-4505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 WOODWARD AVE",
"city": "LOCK HAVEN",
"state": "PA",
"postal_code": "177451625",
"telephone_number": "570-748-4505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEARICK",
"first_name": "AUD",
"middle_name": "ELAINE",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-18",
"last_updated": "2013-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "PA",
"license": "MSG004415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lock Haven, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.