Alin Ray Kitchens Jr., LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60328543 Issued in WA

Practice address

205 Steward Road
Suite 104
Mount Vernon, WA 98273

Phone

(360) 416-3322

Fax

(360) 416-3302

NPI assigned

Apr 11, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• L.E.a.P.S. and Beyond, Inc

  • Behavior Analyst
  • Port Orchard, WA
  • NPI 1083089981
  NPD (past)

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1083057822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 SE BARRINGTON DR",
            "address_2": "SUITE 203",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773200",
            "telephone_number": "866-240-0808",
            "fax_number": "866-240-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 STEWARD ROAD",
            "address_2": "SUITE 104",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "98273",
            "telephone_number": "360-416-3322",
            "fax_number": "360-416-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHENS",
        "first_name": "ALIN",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-11",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60328543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L.E.A.P.S. AND BEYOND INC.",
            "identifier": "103K00000X",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kidney & Hypertension Clinic PLLC
• Peter Euidon Kim, D.D.S.
• Yujin Kim, DO
• Anne P Kinney
• Shaun Evan Kisser, D.P.T.
• KLDW Enterprises LLC
• Sarah Marie Kleefeld, MSM, LM
• Jennifer Klunder, LMT
• Anna Jane Knisely, M.D.
• James Bradley Knott

• Massage Therapist in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; 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.