Individual provider Active NPI

Kaye Lynn Oberg, MASSAGE THERAPIST

  • Massage Therapist
  • Kent, WA
National Provider Identifier
1154651081
Registry record updated Dec 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60040351 Issued in WA
Practice address
22860 156TH Ave SE
Kent, WA 98042-4033
Phone
(206) 353-3876
NPI assigned
Dec 25, 2009
Last updated
Dec 25, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60040351 WA Primary

Addresses

Primary practice location

22860 156TH Ave SE
Kent, WA 98042-4033

Mailing address

22860 156TH Ave SE
Kent, WA 98042-4033
Phone (206) 353-3876

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
MA60040351WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1261699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261699200000",
    "number": "1154651081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22860 156TH AVE SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980424033",
            "telephone_number": "206-353-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22860 156TH AVE SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980424033",
            "telephone_number": "206-353-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERG",
        "first_name": "KAYE",
        "middle_name": "LYNN",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-25",
        "last_updated": "2009-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60040351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2009; 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.