Active NPI
Kristen Kirchner
- Massage Therapist
- East Lansing, MI
National Provider Identifier
1326888744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501016295
- Practice address
- 2045 Asher CT Ste 100
East Lansing, MI 48823-8444 - Phone
- (517) 351-9240
- NPI assigned
- May 31, 2024
- Last updated
- May 31, 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 | 7501016295 | MI | Primary |
Addresses
Primary practice location
2045 Asher CT Ste 100
East Lansing, MI 48823-8444
Mailing address
4119 Wagon Wheel LN
Lansing, MI 48917-1627
Phone (517) 410-8603
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 |
|---|---|---|---|
| 7501016295 | MI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Wellness Inc | Single Specialty | Current | Accepting new patients |
Locations
2045 Asher Ct
#100
East Lansing, MI 48823
Phone (517) 351-9240
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": "1717113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717113600000",
"number": "1326888744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4119 WAGON WHEEL LN",
"city": "LANSING",
"state": "MI",
"postal_code": "489171627",
"telephone_number": "517-410-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2045 ASHER CT STE 100",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488238444",
"telephone_number": "517-351-9240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRCHNER",
"first_name": "KRISTEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-31",
"last_updated": "2024-05-31",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "MI",
"license": "7501016295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.