Active NPI
Kathryn Morgan, CMP
- Massage Therapist
- Lakeport, CA
National Provider Identifier
1104535194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 66680
- Practice address
- 380 N Main St Ste a
Lakeport, CA 95453-4844 - Phone
- (707) 272-8588
- NPI assigned
- Nov 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 66680 | CA | Primary |
Addresses
Primary practice location
380 N Main St Ste a
Lakeport, CA 95453-4844
Mailing address
PO Box 1995
Nice, CA 95464-1995
Phone (707) 272-8588
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
| License | State | Type | Specialty |
|---|---|---|---|
| 66680 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668643200000",
"number": "1104535194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1995",
"city": "NICE",
"state": "CA",
"postal_code": "954641995",
"telephone_number": "707-272-8588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 N MAIN ST STE A",
"city": "LAKEPORT",
"state": "CA",
"postal_code": "954534844",
"telephone_number": "707-272-8588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "KATHRYN",
"credential": "CMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-17",
"last_updated": "2022-11-17",
"certification_date": "2022-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "66680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeport, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.