Individual provider Active NPI

Nicole Killinger, MA60632147

  • Massage Therapist
  • Kennewick, WA
National Provider Identifier
1194172825
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60632147 Issued in WA
Practice address
207 N Dennis St
Kennewick, WA 99336-3129
Phone
(509) 783-7242
Fax
(509) 783-7286
NPI assigned
May 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 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 MA60632147 WA Primary

Addresses

Primary practice location

207 N Dennis St
Kennewick, WA 99336-3129

Mailing address

104 N Mayfield St
Kennewick, WA 99336-3331
Phone (509) 491-0931

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
MA60632147WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
C&L, LLC PastSince Aug 2, 2020 Accepting new patients
Evans Chiropractic P.S. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1194172825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N MAYFIELD ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363331",
            "telephone_number": "509-491-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N DENNIS ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363129",
            "telephone_number": "509-783-7242",
            "fax_number": "509-783-7286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLINGER",
        "first_name": "NICOLE",
        "credential": "MA60632147",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60632147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.