Active NPI
Kristina R Good, LMT
- Massage Therapist
- Camas, WA
National Provider Identifier
1326021593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00016094
- Practice address
- 327 NE 5TH Ave
Camas, WA 98607 - Phone
- (360) 834-5126
- Fax
- (360) 838-1582
- NPI assigned
- Nov 22, 2005
- Last updated
- Feb 3, 2023
- 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 | MA00016094 | WA | Primary |
Addresses
Primary practice location
327 NE 5TH Ave
Camas, WA 98607
Mailing address
327 NE 5TH Ave
Camas, WA 98607
Phone (360) 834-5126
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1030314 | Other | WA | AMERICAN SPECIALTY HEALTH |
| 0159649 | Other | WA | LABOR & INDUSTRIES |
| 0007123372 | Other | WA | AETNA |
| 810423000 | Other | WA | REGENCE BCBS |
| 112757 | Other | WA | KAISER PERMANENTE |
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 |
|---|---|---|---|
| MA00016094 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darling Chiropractic Services, PC | Current | Accepting new patients |
Locations
235 NE 6th Ave
Camas, WA 98607
Phone (360) 834-5126
327 NE 5th Ave
Camas, WA 98607
Phone (360) 834-3141
327 NE 5th Ave
#A
Camas, WA 98607
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Camas Family Health Center, PC
- Chiropractor
- Camas, WA
- NPI 1568568848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675382400000",
"number": "1326021593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 NE 5TH AVE",
"city": "CAMAS",
"state": "WA",
"postal_code": "98607",
"telephone_number": "360-834-5126",
"fax_number": "360-838-1582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 NE 5TH AVE",
"city": "CAMAS",
"state": "WA",
"postal_code": "98607",
"telephone_number": "360-834-5126",
"fax_number": "360-838-1582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOOD",
"first_name": "KRISTINA",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-22",
"last_updated": "2023-02-03",
"certification_date": "2023-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00016094",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPECIALTY HEALTH",
"identifier": "1030314",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "0159649",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0007123372",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BCBS",
"identifier": "810423000",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER PERMANENTE",
"identifier": "112757",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camas, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.