Beatrice Margaret Kenny, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MASG-83 Issued in ID

Practice address

1875 N Lakewood Dr Ste 101
Coeur D Alene, ID 83814-4928

Phone

(208) 667-3583

NPI assigned

Oct 7, 2014

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

Other names 1

• Miss Becky Margaret Kenny Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1316340243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 761",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838160761",
            "telephone_number": "208-416-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 N LAKEWOOD DR STE 101",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144928",
            "telephone_number": "208-667-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNY",
        "first_name": "BEATRICE",
        "middle_name": "MARGARET",
        "name_prefix": "Miss",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-07",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MASG-83",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BECKY",
            "last_name": "KENNY",
            "middle_name": "MARGARET",
            "prefix": "MISS",
            "credential": "MASSAGE THERAPIST",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Regina Marie Kendra
• Anulese Kennedy
• Theresa Ann Kennedy, BSW
• Howard M Kenney, M.D.
• Kelly Deon Kenney
• Roderick Sidney Kent, M.D.
• Kevin Kerschner, RN
• Georjean Kessen, LMSW
• Key Vision Services, P.C.
• Basima Hasan Khan, DO

• Massage Therapist in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Massage Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.

Verify at the official NPI Registry.