Individual provider Active NPI

Ariana Anonuevo

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1124950159
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
29717 Issued in OR
Practice address
1650 NW 13TH Ave Apt 523
Portland, OR 97209-3697
Phone
(415) 341-7618
NPI assigned
Jun 2, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 29717 OR Primary

Addresses

Primary practice location

1650 NW 13TH Ave Apt 523
Portland, OR 97209-3697

Mailing address

1650 NW 13TH Ave Apt 523
Portland, OR 97209-3697
Phone (415) 341-7618

Other practice location 1

2410 SE 10th Ave
Portland, OR 97214-4624
Phone (415) 341-7618

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
29717ORMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1780358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1124950159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 NW 13TH AVE APT 523",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093697",
            "telephone_number": "415-341-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 NW 13TH AVE APT 523",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093697",
            "telephone_number": "415-341-7618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2410 SE 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972144624",
            "country_code": "US",
            "telephone_number": "415-341-7618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANONUEVO",
        "first_name": "ARIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "29717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.