Tamara Lee Kroeger, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

92478 Issued in CA

Practice address

35686 Highway 41
Coarsegold, CA 93614-8744

Phone

(559) 907-2700

NPI assigned

Oct 24, 2023

Sex

Female

Sole proprietor

No

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.

• Kroeger Enterprises LLC

  • Pulmonary Diagnostics Certified Respiratory Therapist
  • Coarsegold, CA
  • NPI 1649618794
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 24, 2023.

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1235901174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1736",
            "city": "COARSEGOLD",
            "state": "CA",
            "postal_code": "936141736",
            "telephone_number": "559-908-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35686 HIGHWAY 41",
            "city": "COARSEGOLD",
            "state": "CA",
            "postal_code": "936148744",
            "telephone_number": "559-907-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROEGER",
        "first_name": "TAMARA",
        "middle_name": "LEE",
        "credential": "CMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "92478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Marie Gren, LMFT
• Sally Kathleen Pearson Kent, MFT
• Faynalda Joann King, LVN
• Kroeger Enterprises LLC
• Phillip Brandon Kroeger
• George Samuel Laird Jr., PHD
• Roger Joseph Lambert, DDS
• Bryan Lequia, RPT
• Summer Nicole Litten, RN
• Sasha Yadyra Lopez, LICENSED MFT

• All providers in Coarsegold, CA
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.