Individual provider Active NPI

Kimberley Anne Lee-Thorp

  • Massage Therapist
  • San Clemente, CA
National Provider Identifier
1144554668
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
570332-09 (NAT'L)
Practice address
111 Avenida del Mar Ste 215
San Clemente, CA 92672-4001
Phone
(949) 547-0716
NPI assigned
Sep 30, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X
Massage Therapist 225700000X 570332-09 (NAT'L) Primary
Doula 374J00000X

Addresses

Primary practice location

111 Avenida del Mar Ste 215
San Clemente, CA 92672-4001

Mailing address

205 Calle Conchita
San Clemente, CA 92672-5404
Phone (949) 547-0716

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

NPI Registry JSON

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1144554668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 CALLE CONCHITA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926725404",
            "telephone_number": "949-547-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 AVENIDA DEL MAR STE 215",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724001",
            "telephone_number": "949-547-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE-THORP",
        "first_name": "KIMBERLEY",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-30",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": "570332-09  (NAT'L)",
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.