Individual provider Active NPI

Kristina R Good, LMT

  • Massage Therapist
  • Camas, WA
National Provider Identifier
1326021593
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00016094 Issued in WA
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 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 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

IdentifierTypeStateIssuer
1030314OtherWAAMERICAN SPECIALTY HEALTH
0159649OtherWALABOR & INDUSTRIES
0007123372OtherWAAETNA
810423000OtherWAREGENCE BCBS
112757OtherWAKAISER 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

LicenseStateTypeSpecialty
MA00016094WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Darling Chiropractic Services, PC CurrentSince May 7, 2010 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.

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.

Verify at the official NPI Registry.