Individual provider Active NPI

Amethyst K Payne, AS KINESIOLOGY

  • Massage Therapist
  • Reno, NV
National Provider Identifier
1093420184
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
NVMT.7902 Issued in NV
Practice address
1026 W 1St St
Reno, NV 89503-5536
Phone
(775) 379-9529
NPI assigned
Jan 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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 NVMT.7902 NV Primary

Addresses

Primary practice location

1026 W 1St St
Reno, NV 89503-5536

Mailing address

275 Carlene Dr
Spanish Springs, NV 89436-8965
Phone (775) 379-9529

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL massagebyamethyst@gmail.com

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
Credentials
Associate of Science

State licenses

LicenseStateTypeSpecialty
NVMT.7902NVMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1093420184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 CARLENE DR",
            "city": "SPANISH SPRINGS",
            "state": "NV",
            "postal_code": "894368965",
            "telephone_number": "775-379-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 W 1ST ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895035536",
            "telephone_number": "775-379-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "AMETHYST",
        "middle_name": "K",
        "credential": "AS KINESIOLOGY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NV",
            "license": "NVMT.7902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "massagebyamethyst@gmail.com",
            "affiliation": "N",
            "address_1": "1026 W 1st St",
            "city": "Reno",
            "state": "NV",
            "country_code": "US",
            "postal_code": "895035536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.