Individual provider Active NPI

Joleen Moana Wampler-Kendall, LMT

  • Massage Therapist
  • Hood River, OR
National Provider Identifier
1083132245
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
12585 Issued in OR
Practice address
501 Portway Ave Ste 203
Hood River, OR 97031-1288
Phone
(541) 406-0849
Fax
(541) 716-5274
NPI assigned
Sep 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 12585 OR Primary

Addresses

Primary practice location

501 Portway Ave Ste 203
Hood River, OR 97031-1288

Mailing address

501 Portway Ave
Suite 203
Hood River, OR 97031-1288
Phone (541) 406-0849

Other identifiers 1

IdentifierTypeStateIssuer
1932497179OtherORCHIROPRACTIC

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
12585ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hood River Chiropractic &Wellness, LLC CurrentSince Jul 24, 2022 Accepting new patients

Locations

501 Portway Ave
Ste 203
Hood River, OR 97031
Phone (503) 704-1206

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083132245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 PORTWAY AVE",
            "address_2": "SUITE 203",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311288",
            "telephone_number": "541-406-0849",
            "fax_number": "541-716-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PORTWAY AVE STE 203",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311288",
            "telephone_number": "541-406-0849",
            "fax_number": "541-716-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAMPLER-KENDALL",
        "first_name": "JOLEEN",
        "middle_name": "MOANA",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "12585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC",
            "identifier": "1932497179",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.