Individual provider Active NPI

Jamie Kim Caroland, LMT

  • Massage Therapist
  • Austin, TX
National Provider Identifier
1023393675
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT004671 Issued in TX
Practice address
2708 Del Curto Rd
Austin, TX 78704-4826
Phone
(512) 442-6268
NPI assigned
Oct 14, 2011
Last updated
Oct 14, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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 MT004671 TX Primary

Addresses

Primary practice location

2708 Del Curto Rd
Austin, TX 78704-4826

Mailing address

2708 Del Curto Rd
Austin, TX 78704-4826
Phone (512) 442-6268

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

LicenseStateTypeSpecialty
MT004671TXMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1023393675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 DEL CURTO RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787044826",
            "telephone_number": "512-442-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 DEL CURTO RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787044826",
            "telephone_number": "512-442-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAROLAND",
        "first_name": "JAMIE",
        "middle_name": "KIM",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-14",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT004671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.