Active NPI
Elyse Parrish, LMBT, RYT
- Massage Therapist
- Fayetteville, NC
National Provider Identifier
1891324976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 17583
- Practice address
- 143 Skateway Dr
Fayetteville, NC 28304-2640 - Phone
- (910) 864-6257
- NPI assigned
- Apr 2, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Massage Therapist | 225700000X | 17583 | NC | Primary |
Addresses
Primary practice location
143 Skateway Dr
Fayetteville, NC 28304-2640
Mailing address
143 Skateway Dr
Fayetteville, NC 28304-2640
Phone (910) 864-6257
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275172298 | Medicaid | NC |
Other names 1
- Elyse Rolfe
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 |
|---|---|---|---|
| 17583 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guiding Wellness Institute | Current | Accepting new patients |
Locations
143 Skateway Dr
Fayetteville, NC 28304
Phone (910) 484-9922
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.
-
- Case Management Agency
- Fayetteville, NC
- NPI 1649809666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585785600000",
"number": "1891324976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 SKATEWAY DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283042640",
"telephone_number": "910-864-6257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 SKATEWAY DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283042640",
"telephone_number": "910-864-6257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARRISH",
"first_name": "ELYSE",
"credential": "LMBT, RYT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-02",
"last_updated": "2020-04-02",
"certification_date": "2020-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "17583",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1275172298",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELYSE",
"last_name": "ROLFE",
"credential": "LMBT, RYT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fayetteville, NC
- Harmandip Singh Parmar, DO
- Karen Parnell, RRT
- Michelle A Parr
- Mary English Parris, DDS
- Douglas R. Parrish, LCSW
- Tanner Daniel Parrish, ATC, PA-C
- Larissa Rodrigues Parsek, PA-C
- Bobbi Jean Parsons, CRNA
- Partners in Health Management of Cumberland County
- Partners in Health Management of Cumberland County Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.