NPIMap

Individual provider Active NPI

Katina Marie Durst, LMP

  • Massage Therapist
  • Port Orchard, WA
National Provider Identifier
1114133808
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00018838 Issued in WA
Practice address
1501 Pottery Ave
Port Orchard, WA 98366-3712
Phone
(360) 876-6865
Fax
(360) 876-5507
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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 MA00018838 WA Primary

Addresses

Primary practice location

1501 Pottery Ave
Port Orchard, WA 98366-3712

Mailing address

14516 Holiday Drive KP N
Gig Harbor, WA 98329-5125
Phone (253) 225-2514

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
MA00018838WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Action Chiropratic Past Accepting new patients
Spinal Health Care Center Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1114133808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14516 HOLIDAY DRIVE KP N",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983295125",
            "telephone_number": "253-225-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 POTTERY AVE",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663712",
            "telephone_number": "360-876-6865",
            "fax_number": "360-876-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURST",
        "first_name": "KATINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00018838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.