Mary R Heidingsfelder, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

2649 Issued in MS

Practice address

19009 Pineville Rd
Long Beach, MS 39560-4540

Phone

(228) 864-9200

Fax

(228) 864-9222

NPI assigned

Feb 12, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Healing Hands Inc

  • Chiropractor
  • Long Beach, MS
  • NPI 1215323282
  NPD

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1962034462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19009 PINEVILLE RD",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395604540",
            "telephone_number": "228-864-9200",
            "fax_number": "228-864-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19009 PINEVILLE RD",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395604540",
            "telephone_number": "228-864-9200",
            "fax_number": "228-864-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDINGSFELDER",
        "first_name": "MARY",
        "middle_name": "R",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MS",
            "license": "2649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSISSIPPI STATE BOARD OF MASSAGE THERAPY",
            "identifier": "2649",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elisha Rokia Harrell, M.S.CCC-SLP
• Ashton Harris, LPTA
• Healing Hands Inc
• Healing Hearts & Minds Therapy Services LLC
• Adam J Heidingsfelder, D.C.
• Halvor Hem, M.D.
• Henson Medical Clinic, Inc.
• Kaitlin Kara McDowell Hermes, CTRS
• Shelley R Holland, CTRS
• Ashlyn Tatyana Paige Holloway

• Massage Therapist in Long Beach, MS
• Providers in Long Beach, MS by specialty
• Massage Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.

Verify at the official NPI Registry.