Individual provider Active NPI

Kristina Hinckson Ms, Bctmb, LMT, Le, LMT

  • Massage Therapist
  • Montclair, NJ
National Provider Identifier
1013677285
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
017480 Issued in NY
Practice address
Museum Commons
828 Bloomfield Ave, 3a
Montclair, NJ 07042
Phone
(516) 359-1778
NPI assigned
Dec 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 017480 NY Primary

Addresses

Primary practice location

Museum Commons
828 Bloomfield Ave, 3a
Montclair, NJ 07042

Mailing address

Museum Commons
828 Bloomfield Ave, 3a
Montclair, NJ 07042
Phone (516) 359-1778

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address khinckson@arukahspa.com Direct

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1013677285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MUSEUM COMMONS",
            "address_2": "828 BLOOMFIELD AVE, 3A",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "07042",
            "telephone_number": "516-359-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MUSEUM COMMONS",
            "address_2": "828 BLOOMFIELD AVE, 3A",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "07042",
            "telephone_number": "516-359-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINCKSON MS, BCTMB, LMT, LE",
        "first_name": "KRISTINA",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "017480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khinckson@arukahspa.com",
            "affiliation": "N",
            "endpointDescription": "my email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Museum Commons",
            "address_2": "828 Bloomfield Ave, 3A",
            "city": "Montclair",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "07042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.