Active NPI
Kristie Michele Watson, LMT
- Massage Therapist
- Lakeville, CT
National Provider Identifier
1275372856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 11246
- Practice address
- 350 Main St # B2
Lakeville, CT 06039-1232 - Phone
- (518) 947-0625
- NPI assigned
- May 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 11246 | CT | Primary |
Addresses
Primary practice location
350 Main St # B2
Lakeville, CT 06039-1232
Mailing address
5 Old Post Rd 3 Lot 20
Millerton, NY 12546-4970
Phone (518) 947-0625
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11246 | CT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1275372856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 OLD POST RD 3 LOT 20",
"city": "MILLERTON",
"state": "NY",
"postal_code": "125464970",
"telephone_number": "518-947-0625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 MAIN ST # B2",
"city": "LAKEVILLE",
"state": "CT",
"postal_code": "060391232",
"telephone_number": "518-947-0625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "KRISTIE",
"middle_name": "MICHELE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-22",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CT",
"license": "11246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeville, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.