Active NPI
Diana Lynn Kosinski-Hedrick, LMT
- Massage Therapist
- Prineville, OR
National Provider Identifier
1124353495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 4397
- Practice address
- 446 NW 3Rd St
Suite 200
Prineville, OR 97754-1757 - Phone
- (541) 447-7230
- Fax
- (541) 447-7577
- NPI assigned
- Oct 5, 2009
- 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 | 4397 | OR | Primary |
Addresses
Primary practice location
446 NW 3Rd St
Suite 200
Prineville, OR 97754-1757
Mailing address
446 NW 3Rd St
Suite 200
Prineville, OR 97754-1757
Phone (541) 447-7230
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 |
|---|---|---|---|
| 4397 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254700800000",
"number": "1124353495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "446 NW 3RD ST",
"address_2": "SUITE 200",
"city": "PRINEVILLE",
"state": "OR",
"postal_code": "977541757",
"telephone_number": "541-447-7230",
"fax_number": "541-447-7577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "446 NW 3RD ST",
"address_2": "SUITE 200",
"city": "PRINEVILLE",
"state": "OR",
"postal_code": "977541757",
"telephone_number": "541-447-7230",
"fax_number": "541-447-7577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSINSKI-HEDRICK",
"first_name": "DIANA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-05",
"last_updated": "2009-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "4397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prineville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.