Individual provider Active NPI

Renae Michele Phippen, CMT

  • Massage Therapist
  • Bakersfield, CA
National Provider Identifier
1083519136
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
61936 Issued in CA
Practice address
1509 El Portal Dr
Bakersfield, CA 93309-2747
Phone
(661) 333-3368
NPI assigned
Oct 9, 2026
Last updated
Oct 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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 61936 CA Primary

Addresses

Primary practice location

1509 El Portal Dr
Bakersfield, CA 93309-2747

Mailing address

1509 El Portal Dr
Bakersfield, CA 93309-2747
Phone (661) 333-3368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1083519136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 EL PORTAL DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092747",
            "telephone_number": "661-333-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 EL PORTAL DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092747",
            "telephone_number": "661-333-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIPPEN",
        "first_name": "RENAE",
        "middle_name": "MICHELE",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-09",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "61936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.