Individual provider Active NPI

Kristian Renee Sanford, LMT

  • Massage Therapist
  • Scottsdale, AZ
National Provider Identifier
1245016658
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT-27207 Issued in AZ
Practice address
15170 N Hayden Rd Ste 6B
Scottsdale, AZ 85260-2571
Phone
(815) 238-8114
NPI assigned
Sep 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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-27207 AZ Primary

Addresses

Primary practice location

15170 N Hayden Rd Ste 6B
Scottsdale, AZ 85260-2571

Mailing address

15170 N Hayden Rd Ste 6B
Scottsdale, AZ 85260-2571
Phone (815) 238-8114

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
MT-27207AZMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coyote Bodywork Massage Therapist CurrentSince Sep 5, 2023 Accepting new patients

Locations

15170 N Hayden Rd
Ste 6B
Scottsdale, AZ 85260
Phone (480) 779-7755

Organizations & group practices 1

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": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1245016658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15170 N HAYDEN RD STE 6B",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602571",
            "telephone_number": "815-238-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15170 N HAYDEN RD STE 6B",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602571",
            "telephone_number": "815-238-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "KRISTIAN",
        "middle_name": "RENEE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-01",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-27207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.