Kelly Ann Baumann, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

26972 Issued in OR

Practice address

3806 SE Belmont St
Portland, OR 97214-4330

Phone

(917) 679-4884

NPI assigned

Sep 14, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1104548320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 SE 16TH AVE APT 2",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142665",
            "telephone_number": "917-679-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3806 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144330",
            "telephone_number": "917-679-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMANN",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "26972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://medicina-massage.com/",
            "affiliation": "N",
            "address_1": "3806 SE Belmont St",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972144330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hannah Bauman
• Lauren Bauman
• Lia Bauman, PSY.D.
• Mya Bauman
• Wendy L. Bauman, LPC, CADCI
• Warren H Baumann, RN, BSN
• Jillian N Baumberger, DNP, CNM
• Frank J. Baumeister Jr., M.D.
• Patricia Marie Baumeister
• Gemma Paula Baumer, MA, LPC-INTERN

• All providers in Portland, OR
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.

Verify at the official NPI Registry.