Active NPI
Nancy Jane McIsaac, LMT, NCTMB, MMP
- Massage Therapist
- Draper, UT
National Provider Identifier
1992884308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 371318-4701
- Practice address
- 114 E 12450 S
Suite #204
Draper, UT 84020-8058 - Phone
- (801) 576-1220
- NPI assigned
- Nov 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 371318-4701 | UT | Primary |
Addresses
Primary practice location
114 E 12450 S
Suite #204
Draper, UT 84020-8058
Mailing address
114 E 12450 S
Suite #204
Draper, UT 84020-8058
Phone (801) 576-1220
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 |
|---|---|---|---|
| 371318-4701 | UT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992884308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 E 12450 S",
"address_2": "SUITE #204",
"city": "DRAPER",
"state": "UT",
"postal_code": "840208058",
"telephone_number": "801-576-1220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 E 12450 S",
"address_2": "SUITE #204",
"city": "DRAPER",
"state": "UT",
"postal_code": "840208058",
"telephone_number": "801-576-1220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCISAAC",
"first_name": "NANCY",
"middle_name": "JANE",
"credential": "LMT, NCTMB, MMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "UT",
"license": "371318-4701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.