Individual provider Active NPI

Caroline Misenheimer Connolly, LMBT, NCMBT

  • Massage Therapist
  • Greenville, NC
National Provider Identifier
1962660142
Registry record updated May 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7021 Issued in NC
Practice address
605 Lynndale CT
Suite D
Greenville, NC 27858-5449
Phone
(252) 414-3552
NPI assigned
May 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 7021 NC Primary

Addresses

Primary practice location

605 Lynndale CT
Suite D
Greenville, NC 27858-5449

Mailing address

4420 Oaksong Dr
Greenville, NC 27834-0512
Phone (252) 414-3552

Other names 1

  • Miss Caroline Novie Misenheimer Former name

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

LicenseStateTypeSpecialty
7021NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1211587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211587200000",
    "number": "1962660142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 OAKSONG DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278340512",
            "telephone_number": "252-414-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 LYNNDALE CT",
            "address_2": "SUITE D",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585449",
            "telephone_number": "252-414-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "CAROLINE",
        "middle_name": "MISENHEIMER",
        "name_prefix": "Mrs.",
        "credential": "LMBT, NCMBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-24",
        "last_updated": "2008-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "7021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "MISENHEIMER",
            "middle_name": "NOVIE",
            "prefix": "MISS",
            "credential": "CMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2008; 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.