Individual provider Active NPI

Ann Kristen Shiramizu, M.T.

  • Massage Therapist
  • Denver, CO
National Provider Identifier
1184926669
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT-3064 Issued in CO
Practice address
2490 W 26TH Ave
BLDG a-300
Denver, CO 80211-5314
Phone
(303) 831-9393
Fax
(303) 831-6335
NPI assigned
Dec 3, 2010
Last updated
Nov 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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 MT-3064 CO Primary

Addresses

Primary practice location

2490 W 26TH Ave
BLDG a-300
Denver, CO 80211-5314

Mailing address

2490 W 26TH Ave
BLDG a-300
Denver, CO 80211-5314
Phone (303) 831-9393

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
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
MT-3064COMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1184926669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 W 26TH AVE",
            "address_2": "BLDG A-300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802115314",
            "telephone_number": "303-831-9393",
            "fax_number": "303-831-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 W 26TH AVE",
            "address_2": "BLDG A-300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802115314",
            "telephone_number": "303-831-9393",
            "fax_number": "303-831-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRAMIZU",
        "first_name": "ANN",
        "middle_name": "KRISTEN",
        "credential": "M.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-03",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT-3064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.