Individual provider Active NPI

Kristi M Tynan, LAC

  • Massage Therapist
  • Tucson, AZ
National Provider Identifier
1144714981
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT-24768 Issued in AZ
Practice address
2030 N Camino Serna Ste 118
Tucson, AZ 85715-4061
Phone
(520) 369-2389
NPI assigned
Jun 15, 2018
Last updated
Oct 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X LAC-011975 AZ
Massage Therapist 225700000X MT-24768 AZ Primary

Addresses

Primary practice location

2030 N Camino Serna Ste 118
Tucson, AZ 85715-4061

Mailing address

10409 E Camino Tesote
Tucson, AZ 85749-9471
Phone (520) 369-2389

Other identifiers 1

IdentifierTypeStateIssuer
LAC-011975OtherAZNCCAOM

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
LAC-011975AZMDAcupuncturist
MT-24768AZMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Point Tucson Acupuncturist CurrentSince Oct 12, 2025 Accepting new patients

Organizations & group practices 1

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": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1144714981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10409 E CAMINO TESOTE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857499471",
            "telephone_number": "520-369-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 N CAMINO SERNA STE 118",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154061",
            "telephone_number": "520-369-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYNAN",
        "first_name": "KRISTI",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "LAC-011975",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-24768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCAOM",
            "identifier": "LAC-011975",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.