Individual provider Active NPI

Kiajera Oshanay Blackston, DACCHM

  • Massage Therapist
  • Phoenix, AZ
National Provider Identifier
1174460836
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
27299 Issued in AZ
Practice address
29675 N North Valley Pkwy Unit 2004
Phoenix, AZ 85085-0784
Phone
(562) 713-8548
NPI assigned
Apr 30, 2026
Last updated
Apr 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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 27299 AZ Primary

Addresses

Primary practice location

29675 N North Valley Pkwy Unit 2004
Phoenix, AZ 85085-0784

Mailing address

29675 N North Valley Pkwy Unit 2004
Phoenix, AZ 85085-0784
Phone (562) 713-8548

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": "1777507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1174460836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29675 N NORTH VALLEY PKWY UNIT 2004",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850850784",
            "telephone_number": "562-713-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29675 N NORTH VALLEY PKWY UNIT 2004",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850850784",
            "telephone_number": "562-713-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKSTON",
        "first_name": "KIAJERA",
        "middle_name": "OSHANAY",
        "name_prefix": "Dr.",
        "credential": "DACCHM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-30",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "27299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.