Active NPI
Stephanie Hughes, LMT, RYT
- Massage Therapist
- Fairmont, WV
National Provider Identifier
1972045649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2003-1177
- Practice address
- 17 Lois LN
Fairmont, WV 26554-8471 - Phone
- (724) 288-3639
- NPI assigned
- Nov 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2003-1177 | WV | Primary |
| Contractor | 171W00000X | WV2003-1177 | WV |
Addresses
Primary practice location
17 Lois LN
Fairmont, WV 26554-8471
Mailing address
17 Lois LN
Fairmont, WV 26554-8471
Phone (724) 288-3639
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
| License | State | Type | Specialty |
|---|---|---|---|
| WV2003-1177 | WV | MD | Contractor |
| 2003-1177 | WV | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487635200000",
"number": "1972045649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 LOIS LN",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265548471",
"telephone_number": "724-288-3639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 LOIS LN",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265548471",
"telephone_number": "724-288-3639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGHES",
"first_name": "STEPHANIE",
"name_prefix": "Miss",
"credential": "LMT, RYT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-13",
"last_updated": "2017-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WV",
"license": "2003-1177",
"primary": true
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "WV",
"license": "WV2003-1177",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.