Individual provider Active NPI

Angela McKinley

  • Massage Therapist
  • Arvada, CO
National Provider Identifier
1275300030
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT.0019032 Issued in CO
Practice address
12380 W 64TH Ave
Arvada, CO 80004-4016
Phone
(303) 467-5337
Fax
(303) 467-1131
NPI assigned
Dec 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 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.0019032 CO Primary

Addresses

Primary practice location

12380 W 64TH Ave
Arvada, CO 80004-4016

Mailing address

12213 W 71St Ave
Arvada, CO 80004-1205
Phone (530) 786-3405

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.0019032COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Calm Spirit Integrative Wellness Inc. CurrentSince Oct 20, 2024 Accepting new patients

Locations

12380 W 64th Ave
Arvada, CO 80004
Phone (303) 421-7000

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": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1275300030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12213 W 71ST AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800041205",
            "telephone_number": "530-786-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12380 W 64TH AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800044016",
            "telephone_number": "303-467-5337",
            "fax_number": "303-467-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINLEY",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0019032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.