Individual provider Active NPI

Klaudia Promessi

  • Massage Therapist
  • Sutter Creek, CA
National Provider Identifier
1194114371
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
29286 Issued in CA
Practice address
15023 Sutter Creek Rd
Sutter Creek, CA 95685-9735
Phone
(209) 267-1325
NPI assigned
Jan 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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 29286 CA Primary

Addresses

Primary practice location

15023 Sutter Creek Rd
Sutter Creek, CA 95685-9735

Mailing address

15023 Sutter Creek Rd
Sutter Creek, CA 95685-9735
Phone (209) 267-1325

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
29286CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1194114371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15023 SUTTER CREEK RD",
            "city": "SUTTER CREEK",
            "state": "CA",
            "postal_code": "956859735",
            "telephone_number": "209-267-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15023 SUTTER CREEK RD",
            "city": "SUTTER CREEK",
            "state": "CA",
            "postal_code": "956859735",
            "telephone_number": "209-267-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROMESSI",
        "first_name": "KLAUDIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "29286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sutter Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.