Kirk S. Jepsen

Primary specialty

Health EducatorTaxonomy code 174H00000X

License

15571 Issued in OR

Legal business name

KIRK S. JEPSEN

Practice address

3187 Marcia Dr NE
Salem, OR 97301-8647

Phone

(971) 388-6366

NPI assigned

Dec 19, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kirk Steven Jepsen, LMT

Title

Massage Therapist

Phone

(971) 388-6366

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1336684877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3187 MARCIA DR NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973018647",
            "telephone_number": "971-388-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3187 MARCIA DR NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973018647",
            "telephone_number": "971-388-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK S. JEPSEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "JEPSEN",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "971-388-6366",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": "OR",
            "license": "15571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eli Kinsley, LCSW
• Alice Elizabeth Kintner, QMHP
• Kintsugi Acupuncture and Psychiatric Care
• Mary Kintz
• Mikaela Kirby
• Anthony David Kirk, QMHA
• Bradley Kirkland
• Michelle Kirkpatrick
• Ryan Kirkpatrick, M.D.
• Darcey Kirkwood, LCSW

• Health Educator in Salem, OR
• Providers in Salem, OR by specialty
• Health Educator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.