Kristy Bracken, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60533836 Issued in WA

Practice address

717 NE 61St St
Suite 102
Vancouver, WA 98665-8753

Phone

(360) 433-9480

NPI assigned

Feb 12, 2015

Sex

Female

Sole proprietor

No

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.

• Still Point Massage and Wellness Studio, LLC

  • Massage Therapist
  • Vancouver, WA
  • NPI 1417356841
  NPD (past)

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1255722211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 NW 138TH CIR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986851808",
            "telephone_number": "360-909-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 NE 61ST ST",
            "address_2": "SUITE 102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658753",
            "telephone_number": "360-433-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKEN",
        "first_name": "KRISTY",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60533836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BR Anesthesia-Wa PLLC
• Katherine Braaten, LMT
• Ariana Brace
• Kelly Brachman, MSW
• Kelly Sue Bracken, PMHNP
• Rachael M Bradbury, BA, AAC
• Chloe Bradley
• Helen L Bradley
• Jill Renee Bradley, FNP
• Mikayala Bradley, BEHAVIOR TECHNICIAN

• All providers in Vancouver, WA
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.