Active NPI
Ann Janelle Holland, LMT
- Massage Therapist
- Dallas, OR
National Provider Identifier
1013268762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 19314
- Practice address
- 289 E Ellendale Ave
Suite 601
Dallas, OR 97338-1580 - Phone
- (971) 599-3558
- NPI assigned
- Sep 20, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 19314 | OR | Primary |
Addresses
Primary practice location
289 E Ellendale Ave
Suite 601
Dallas, OR 97338-1580
Mailing address
15545 Ferns Corner Rd
Dallas, OR 97338-9478
Phone (971) 599-3558
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 |
|---|---|---|---|
| 19314 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348099200000",
"number": "1013268762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15545 FERNS CORNER RD",
"city": "DALLAS",
"state": "OR",
"postal_code": "973389478",
"telephone_number": "971-599-3558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "289 E ELLENDALE AVE",
"address_2": "SUITE 601",
"city": "DALLAS",
"state": "OR",
"postal_code": "973381580",
"telephone_number": "971-599-3558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "ANN",
"middle_name": "JANELLE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-20",
"last_updated": "2012-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "19314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.