Active NPI
Kindra Nicole Priddy
- Massage Therapist
- Broomfield, CO
National Provider Identifier
1225376270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0013486
- Practice address
- 7000 W 120TH Ave
Broomfield, CO 80020-2821 - Phone
- (303) 451-6706
- NPI assigned
- Jan 26, 2013
- Last updated
- Jan 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 0013486 | CO | Primary |
Addresses
Primary practice location
7000 W 120TH Ave
Broomfield, CO 80020-2821
Mailing address
10463 Kipling CT
Westminster, CO 80021-3846
Phone (720) 327-7225
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0013486 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359158400000",
"number": "1225376270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10463 KIPLING CT",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800213846",
"telephone_number": "720-327-7225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 W 120TH AVE",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800202821",
"telephone_number": "303-451-6706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIDDY",
"first_name": "KINDRA",
"middle_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-26",
"last_updated": "2013-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "0013486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broomfield, CO
- Poudre Valley Medical Group, LLC (UCHealth Medical Group)
- Shamina Joselyn Powell, RN
- Precision Lab Services, LLC
- Ricarda Noelle Prentice, D.D.S.
- Nikki Price, RPH
- Candace Pritchett
- Pro-Motion Physical Therapy & Pilates, PLLC
- Professional Neurologics, LLC
- Professional Sleep Services
- Jeffrey Bryan Prystupa, D.C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.