Individual provider Active NPI

Kristen Renee McFarland, LMT

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1134751027
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
25451 Issued in OR
Practice address
4317 NE Tillamook St
Portland, OR 97213-1315
Phone
(503) 493-9730
Fax
(503) 493-1642
NPI assigned
Feb 7, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 25451 OR Primary

Addresses

Primary practice location

4317 NE Tillamook St
Portland, OR 97213-1315

Mailing address

4922 SE 28TH Ave Apt 462
Portland, OR 97202-9403
Phone (215) 964-4313

Other identifiers 1

IdentifierTypeStateIssuer
25451OtherORLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Office@renewchiropracticclinic.com Other Dorsey Chiropractic, Inc

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
25451ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dorsey Chiropractic, Inc Multi-Specialty PastSince Feb 9, 2020 Accepting new patients
Northeast Medical Consultants, PC Multi-Specialty PastSince Feb 9, 2020 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1134751027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4922 SE 28TH AVE APT 462",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972029403",
            "telephone_number": "215-964-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4317 NE TILLAMOOK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131315",
            "telephone_number": "503-493-9730",
            "fax_number": "503-493-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFARLAND",
        "first_name": "KRISTEN",
        "middle_name": "RENEE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-07",
        "last_updated": "2023-11-27",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "25451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "25451",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Office@renewchiropracticclinic.com",
            "affiliation": "Y",
            "endpointDescription": "Clinic email",
            "affiliationName": "Dorsey Chiropractic, Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Office email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "4317 NE Tillamook St",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972131315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 27, 2023; 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.