Active NPI
Annabeth R Nelson, LMT
- Massage Therapist
- Silverton, OR
National Provider Identifier
1013312347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 11206
- Practice address
- 895 W Main St
Silverton, OR 97381-2243 - Phone
- (503) 874-2503
- NPI assigned
- Oct 29, 2014
- Last updated
- Oct 29, 2014
- 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 | 11206 | OR | Primary |
Addresses
Primary practice location
895 W Main St
Silverton, OR 97381-2243
Mailing address
311 Edgewood Dr
PO Box 994
Silverton, OR 97381-2211
Phone (503) 569-2284
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 |
|---|---|---|---|
| 11206 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Garden Resort LLC | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414540800000",
"number": "1013312347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 EDGEWOOD DR",
"address_2": "PO BOX 994",
"city": "SILVERTON",
"state": "OR",
"postal_code": "973812211",
"telephone_number": "503-569-2284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "895 W MAIN ST",
"city": "SILVERTON",
"state": "OR",
"postal_code": "973812243",
"telephone_number": "503-874-2503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "ANNABETH",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-29",
"last_updated": "2014-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "11206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.