MR. NICHOLAS PERNELL VINES SR. (NPI# 1174141428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174141428 |
| Entity Type | Individual |
| Full Name | MR. NICHOLAS PERNELL VINES SR. |
| Practice Address |
2201 Sagewood Dr Montgomery AL 36117-2428 |
| Practice Telephone | 3346762414 |
| Mailing Telephone | 3346762414 |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 5521 | AL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2201 SAGEWOOD DR |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36117-2428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061307 | Bhg Lxxiii, LLC | Clinic/Center | 1714 Platt Place, Montgomery, AL 36117 | 2020-10-22 |
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1417421496 | Tiffany Webb | Specialist | 411 Twain Curve, E, Montgomey, AL 36117 | 2019-01-14 |
| 1013485374 | Montgomery Orthodontic Specialists | Dentist | 5833 Carmichael Road, Montgomery, AL 36117 | 2018-11-05 |
| 1770050791 | Blair Henderson Parks | Speech-Language Pathologist | 7088 University Court, Montgomery, AL 36117 | 2018-10-29 |
| 1629557822 | Evelyn F Crayton | Dietitian, Registered | 124 Elm Dr, Montgomery, AL 36117 | 2018-08-08 |
| 1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
| 1063912301 | Gardenia Cove Mental Health PC | Psychiatry & Neurology | 6771 Taylor Circle, Montgomery, AL 36117 | 2018-02-13 |
| 1760900294 | Montgomery Auburn Homecare LLC | In Home Supportive Care | 2569 Bell Rd, Montgomery, AL 36117 | 2017-09-05 |
| 1336667120 | Alyssa Bryanna Swisher | Chiropractor | 2026 Berryhill Road, Montgomery, AL 36117 | 2017-09-01 |
| Find all providers in zip 36117 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417564527 | Huldah Deberry | Massage Therapist | 8449 Crossland Loop Ste 108, Montgomery, AL 36117-0917 | 2020-09-23 |
| 1225649791 | Oasis Massage and Bodywork, Inc. | Massage Therapist | 5287 Vaughn Rd, Montgomery, AL 36116-1104 | 2020-08-10 |
| 1245854017 | Danney Lester Hendrix | Massage Therapist | 5485 Atlanta Hwy, Root Salon Building, Montgomery, AL 36109 | 2020-06-08 |
| 1881139731 | Nikki Roberts | Massage Therapist | 7111 Halcyon Park Dr Ste B, Montgomery, AL 36117-7714 | 2017-01-02 |
| 1811290935 | Charles Warren Clark Jr. | Massage Therapist | 19577 Fm 2854 Rd, Montgomery, TX 77316-3150 | 2010-12-11 |
| 1558698050 | Laura Lee Svatek | Massage Therapist | 211 Cool Cove, Montgomery, TX 77356 | 2009-11-04 |
| 1649507179 | Sheila Jean Mistric | Massage Therapist | 24563 Clark Rd, Montgomery, TX 77316-3876 | 2009-11-04 |
| 1023345501 | Desaray Leigh Rich | Massage Therapist | 15260 Highway 105 W # 125, Montgomery, TX 77356-5259 | 2009-11-04 |
| 1962655332 | Kathy J Stricker | Massage Therapist | 518 Paradise Ln, Montgomery, TX 77356-5725 | 2008-10-29 |
| 1245830637 | Rebecca Jean Allen | Massage Therapist | 6200 Pfeiffer Rd, Montgomery, OH 45242-5862 | 2020-10-27 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36117 |
Please comment or provide details below to improve the information on MR. NICHOLAS PERNELL VINES SR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.