Individual provider Active NPI

Kaysi Jo Jochim, LMT

  • Massage Therapist
  • Bismarck, ND
National Provider Identifier
1093018335
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
1158 Issued in ND
Practice address
402 E Main Ave
Suite 200
Bismarck, ND 58501-4042
Phone
(701) 595-4617
NPI assigned
Dec 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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 1158 ND Primary

Addresses

Primary practice location

402 E Main Ave
Suite 200
Bismarck, ND 58501-4042

Mailing address

402 E Main Ave
Suite 200
Bismarck, ND 58501-4042
Phone (701) 595-4617

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
1158NDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1093018335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 E MAIN AVE",
            "address_2": "SUITE 200",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014042",
            "telephone_number": "701-595-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E MAIN AVE",
            "address_2": "SUITE 200",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014042",
            "telephone_number": "701-595-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOCHIM",
        "first_name": "KAYSI",
        "middle_name": "JO",
        "name_prefix": "Miss",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-08",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ND",
            "license": "1158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.