Individual provider Active NPI

Kyanni N. Fleming, RN, LMT

  • Nurse Massage Therapist (NMT)
  • Ellicott City, MD
National Provider Identifier
1962082552
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse Massage Therapist (NMT)Taxonomy code 163WM1400X
License
R156255 Issued in MD
Practice address
3505 Ellicott Mills Dr Ste B1
Ellicott City, MD 21043-4599
Phone
(443) 203-8308
NPI assigned
Apr 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Massage Therapist (NMT) 163WM1400X R156255 MD Primary
Massage Therapist 225700000X M04061 MD

Addresses

Primary practice location

3505 Ellicott Mills Dr Ste B1
Ellicott City, MD 21043-4599

Mailing address

3505 Ellicott Mills Dr Ste B1
Ellicott City, MD 21043-4599
Phone (443) 203-8308

Other practice location 1

516 N Rolling Rd Ste 305
Catonsville, MD 21228-4142
Phone (443) 203-8308

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R156255MDMDNurse Massage Therapist (NMT)
M04061MDMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Kneading Well LLC Massage Therapist CurrentSince Oct 12, 2025 Accepting new patients

Locations

516 N Rolling Rd
Ste 305
Catonsville, MD 21228
Phone (240) 245-6948

3505 Ellicott Mills Dr
Ste B1
Ellicott City, MD 21043
Phone (443) 203-8308

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.

NPI Registry JSON

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1962082552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 ELLICOTT MILLS DR STE B1",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434599",
            "telephone_number": "443-203-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 ELLICOTT MILLS DR STE B1",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434599",
            "telephone_number": "443-203-8308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "516 N Rolling Rd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Catonsville",
            "state": "MD",
            "postal_code": "212284142",
            "country_code": "US",
            "telephone_number": "443-203-8308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "KYANNI",
        "middle_name": "N.",
        "credential": "RN, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-09",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "MD",
            "license": "R156255",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "M04061",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.