Active NPI
Kimberley Anne Lee-Thorp
- Massage Therapist
- San Clemente, CA
National Provider Identifier
1144554668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.