Jonna Nicole Kilpatrick

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

29008 Issued in OR

Practice address

3801 SW Hall Blvd
Beaverton, OR 97005-2049

Phone

(503) 601-0056

Fax

(503) 419-4667

NPI assigned

Sep 22, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Fahma Health and Wellness Center LLC

  • Chiropractor
  • Beaverton, OR
  • NPI 1245956952

  Single Specialty

  NPD
• Flex Chiropractic LLC

  • Chiropractor
  • Suwanee, GA
  • NPI 1538256904

  Single Specialty

  NPD

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1124990841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 SW HALL BLVD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052049",
            "telephone_number": "503-601-0056",
            "fax_number": "503-419-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 SW HALL BLVD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052049",
            "telephone_number": "503-601-0056",
            "fax_number": "503-419-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILPATRICK",
        "first_name": "JONNA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "29008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Alexander Kidd, MD
• Emily Ruth Kidney, OTD
• Kidscare Home Health of Oregon LLC
• John Thomas Kightlinger, QMHA
• Eric Hunter Kilber, M.D.
• Catherine Bom Kim, D.M.D.
• Gary Sang Kim, M.D.
• Jane Jeeyoon Kim, DMD
• Jin Ah Renee Kim, LCSW
• Jonathan Juyun Kim, DDS

• Massage Therapist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.