Individual provider Active NPI

Alexis Roane Durand, STATE OF OREGON LMT

  • Massage Therapist
  • Eugene, OR
National Provider Identifier
1083886170
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
6853 Issued in OR
Practice address
243 Loretta Way
Eugene, OR 97404-3265
Phone
(541) 688-3570
NPI assigned
Mar 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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 6853 OR Primary

Addresses

Primary practice location

243 Loretta Way
Eugene, OR 97404-3265

Mailing address

243 Loretta Way
Eugene, OR 97404-3265
Phone (541) 688-3570

Other names 1

  • Ms. Ali Roane Durand Other name

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
6853ORMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1083886170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 LORETTA WAY",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974043265",
            "telephone_number": "541-688-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 LORETTA WAY",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974043265",
            "telephone_number": "541-688-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAND",
        "first_name": "ALEXIS",
        "middle_name": "ROANE",
        "name_prefix": "Ms.",
        "credential": "STATE OF OREGON LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "6853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALI",
            "last_name": "DURAND",
            "middle_name": "ROANE",
            "prefix": "MS.",
            "credential": "STATE OF OREGON LMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.