Quantanique Shante Williams Moore, LMT, CHD

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT.0024894 Issued in CO

Practice address

1155 Kachina Dr
Colorado Springs, CO 80915-3025

Phone

(562) 810-9195

NPI assigned

Oct 26, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lake Plaza Acupuncture and Chiropractic LLC

  • Acupuncturist
  • Colorado Springs, CO
  • NPI 1093386419

  Massage Therapist

  NPD (past)

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1891567491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 KACHINA DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809153025",
            "telephone_number": "562-810-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 KACHINA DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809153025",
            "telephone_number": "562-810-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS MOORE",
        "first_name": "QUANTANIQUE",
        "middle_name": "SHANTE",
        "credential": "LMT, CHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-26",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0024894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Storms Allergy Clinic PC
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• William T. Greer DDS PC
• Tommi William
• Williams Mobile Dental Hygiene
• Erin Williams Sherman, CNM, APRN
• Amy Williams Trujillo, DDS
• Maxeen Williams-Bobian
• Joy R. Williams-Moore Schilling, PH.D.
• Annie Williams-Swett, LPCC, CLINICIAN

• Massage Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.