Wellformed AI

NPI 1962082552 · live from the CMS NPI Registry

Kyanni N. Fleming, RN, LMT

Registered Nurse, Nurse Massage Therapist (NMT) in Ellicott City, MD. National Provider Identifier 1962082552, active.

NPI record

NPI1962082552 Type 1 · individual
StatusActive
Primary specialtyRegistered Nurse, Nurse Massage Therapist (NMT) 163WM1400X
Practice location3505 Ellicott Mills Dr Ste B1, Ellicott City, MD 21043
Practice phone443-203-8308
EnumeratedApril 9, 2021
Last updatedOctober 6, 2025
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Registered Nurse, Nurse Massage Therapist (NMT) primary163WM1400XR156255 (MD)
Massage Therapist225700000XM04061 (MD)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.