Active NPI
Carey Anne Kimball, MT
- Massage Therapist
- Barre, VT
National Provider Identifier
1275939175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 327353-00
- Practice address
- 15 Cottage Street, Suite 5
Professional Massage and Skin Care
Barre, VT 05641 - Phone
- (802) 522-8976
- NPI assigned
- Nov 5, 2014
- 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 | 327353-00 | Primary |
Addresses
Primary practice location
15 Cottage Street, Suite 5
Professional Massage and Skin Care
Barre, VT 05641
Mailing address
15 Cottage Street, Suite 5
Professional Massage and Skin Care
Barre, VT 05641
Phone (802) 522-8976
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
- Credentials
- Medical Technician
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415145600000",
"number": "1275939175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 COTTAGE STREET, SUITE 5",
"address_2": "PROFESSIONAL MASSAGE AND SKIN CARE",
"city": "BARRE",
"state": "VT",
"postal_code": "05641",
"telephone_number": "802-522-8976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 COTTAGE STREET, SUITE 5",
"address_2": "PROFESSIONAL MASSAGE AND SKIN CARE",
"city": "BARRE",
"state": "VT",
"postal_code": "05641",
"telephone_number": "802-522-8976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBALL",
"first_name": "CAREY",
"middle_name": "ANNE",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-05",
"last_updated": "2014-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": "327353-00",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barre, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.