Robin Jennifer Stevenson, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MAS-4823 Issued in ID

Practice address

116 E 3Rd St Ste 201
Moscow, ID 83843-4318

Phone

(208) 610-3591

NPI assigned

Jul 30, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Roots Massage & Bodywork LLC Suzanne Kaplan Col MBR

  • Massage Therapist
  • Moscow, ID
  • NPI 1225767791
  NPD
• Pullman Chiropractic Clinic, PLLC

  • Clinic/Center
  • Pullman, WA
  • NPI 1174712095
  NPD (past)

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1083960819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9691",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838430179",
            "telephone_number": "509-339-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E 3RD ST STE 201",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838434318",
            "telephone_number": "208-610-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "ROBIN",
        "middle_name": "JENNIFER",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-30",
        "last_updated": "2023-03-13",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60242451",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MAS-4823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas D Sprinkle, M.D.
• St Joseph Hospital LLC
• Kerstin Staley
• Christopher Michael Standley, D.O.
• Barrie Eugene Steele, MS, LAT, ATC
• Jonathan Mitchell Stoneman
• Kyrsten E Stoops, MD
• Story Family Medicine
• Alex Thomas Strauss
• Jessica Katharine Strong, MD

• Massage Therapist in Moscow, ID
• Providers in Moscow, ID by specialty
• Massage Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.