Individual provider Active NPI

Kristin Nicole Faus

  • Massage Therapist
  • Eugene, OR
National Provider Identifier
1356008403
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
26500 Issued in OR
Practice address
389 W 6TH Ave
Eugene, OR 97401-2508
Phone
(541) 343-3455
NPI assigned
Nov 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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 26500 OR Primary

Addresses

Primary practice location

389 W 6TH Ave
Eugene, OR 97401-2508

Mailing address

389 W 6TH Ave
Eugene, OR 97401-2508

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
26500ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Springwell Chiropractic Center LLC CurrentSince Jul 28, 2024 Accepting new patients

Locations

389 W 6th Ave
Eugene, OR 97401
Phone (541) 343-3455

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1356008403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 W 6TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 W 6TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012508",
            "telephone_number": "541-343-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUS",
        "first_name": "KRISTIN",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "26500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.