NPIMap

Organization Active NPI

Homeopathic Weight Management LLC/Evoke Healing Space and Spa

  • Massage Therapist
  • Bend, OR
National Provider Identifier
1023885191
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
HOMEOPATHIC WEIGHT MANAGEMENT LLC/EVOKE HEALING SPACE AND SPA
Practice address
634 NW Arizona Ave
Bend, OR 97703-3260
Phone
(541) 797-6744
NPI assigned
Dec 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Donna KerleyNPI 1861269235
Title
Owner
Phone
(541) 797-6744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

634 NW Arizona Ave
Bend, OR 97703-3260

Mailing address

634 NW Arizona Ave
Bend, OR 97703-3260
Phone (541) 797-6744

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1023885191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 NW ARIZONA AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977033260",
            "telephone_number": "541-797-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 NW ARIZONA AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977033260",
            "telephone_number": "541-797-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEOPATHIC WEIGHT MANAGEMENT LLC/EVOKE HEALING SPACE AND SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "KERLEY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-797-6744"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.