Active NPI
Kristen Masae Alfonso Lee, CMT
- Massage Therapist
- Riverside, CA
National Provider Identifier
1033740154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 1821
- Practice address
- 11498 Pierce St
Riverside, CA 92505-3357 - Phone
- (951) 354-6294
- NPI assigned
- Jan 28, 2020
- Last updated
- Jan 28, 2020
- 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 | 1821 | CA | Primary |
Addresses
Primary practice location
11498 Pierce St
Riverside, CA 92505-3357
Mailing address
PO Box 5033
Norco, CA 92860-8001
Phone (310) 938-7100
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": "1580169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1033740154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5033",
"city": "NORCO",
"state": "CA",
"postal_code": "928608001",
"telephone_number": "310-938-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11498 PIERCE ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925053357",
"telephone_number": "951-354-6294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KRISTEN",
"middle_name": "MASAE ALFONSO",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-28",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "1821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.