Katrina Rochelle Chambers, LMT, MMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

2021031608 Issued in MO

Practice address

102 Moonlight Valley Dr
Ash Grove, MO 65604-8160

Phone

(417) 839-9726

NPI assigned

Jul 13, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Moonlight Valley Medical Massage, LLC

  • Massage Therapist
  • Ash Grove, MO
  • NPI 1013790500
  NPD Authorized official
• Help With Massage, LLC

  • Massage Therapist
  • Springfield, MO
  • NPI 1972219376
  NPD (past)

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1245964360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MOONLIGHT VALLEY DR",
            "city": "ASH GROVE",
            "state": "MO",
            "postal_code": "656048160",
            "telephone_number": "417-839-9726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MOONLIGHT VALLEY DR",
            "city": "ASH GROVE",
            "state": "MO",
            "postal_code": "656048160",
            "telephone_number": "417-839-9726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4059 W Juno St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658025439",
            "country_code": "US",
            "telephone_number": "417-818-4989",
            "fax_number": "417-427-6484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "KATRINA",
        "middle_name": "ROCHELLE",
        "credential": "LMT, MMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": "2021031608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ash Grove Pharmacy Inc
• Ash Grove R-IV School District
• Richard A Boyd
• Citizens Memorial Health Care Foundation
• Citizens Memorial Health Care Foundation
• Citizens Memorial Healthcare
• Clear Creek Family Dental
• Clear Creek Family Dental

• All providers in Ash Grove, MO
• Massage Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.