Chloe Sierra Kilgore

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61072950

Practice address

17030 SE 1St St Ste 102
Vancouver, WA 98684-8514

Phone

(360) 604-1226

NPI assigned

Oct 15, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Breathe Yoga and Massage, LLC

  • Mechanotherapist
  • Vancouver, WA
  • NPI 1740561752
  NPD (past)

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1033717616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 E 1ST AVE",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986071620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17030 SE 1ST ST STE 102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986848514",
            "telephone_number": "360-604-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILGORE",
        "first_name": "CHLOE",
        "middle_name": "SIERRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": "MA61072950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@breatheyogavancouver.com",
            "affiliation": "N",
            "address_1": "17030 SE 1st St Ste 102",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986848514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lam Thuy Kieu, PHARMD
• Anastasia Nyaguthii Kihwaga
• Erin Kilburn
• Ian Kile, CBT
• Ezra Kilfoil, LMFT
• Erik J. Kilgore, M.D.
• Caitlin Kilgras, NP-C
• Cory Killeen, APRN, FNP
• Brian Scott Killian, LMFT
• Kara Marie Killorin, RN

• Massage Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.