Janisha Gore, LMBT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

18531 Issued in NC

Practice address

5211 Main St Ste 505
Shallotte, NC 28470-3442

Phone

(910) 269-9516

NPI assigned

Feb 9, 2021

Last updated

Feb 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Janisha Gore Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1952993040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2186 FREEDOM STAR RD",
            "city": "LONGWOOD",
            "state": "NC",
            "postal_code": "284529779",
            "telephone_number": "910-269-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 MAIN ST STE 505",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284703442",
            "telephone_number": "910-269-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORE",
        "first_name": "JANISHA",
        "credential": "LMBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "18531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANISHA",
            "last_name": "GORE",
            "prefix": "MS.",
            "credential": "LMBT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Geeson, Rooks & Associates DDS II PA (Complete Dental Shallotte)
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• Parth Suresh Ghatalia, DDS
• Rebecca Sherrill Godbold, MSW, LCSWA
• Kathleen Mary Gomes, MS, CAS
• Meagan A Gore, MS, CCC-SLP
• Marlon Anthony Graham, MD
• Amanda Green, PA-C
• Tia Green
• Vickie Dawn Griffin, LPC

• Massage Therapist in Shallotte, NC
• Providers in Shallotte, NC by specialty
• Massage Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.

Verify at the official NPI Registry.