Active NPI
Nina Lynn Haluko, LMT
- Massage Therapist
- Newberg, OR
National Provider Identifier
1356823579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 18189
- Practice address
- 200 E 2ND St Ste 101
Newberg, OR 97132-3083 - Phone
- (503) 936-3737
- NPI assigned
- Sep 4, 2018
- Last updated
- Sep 4, 2018
- 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 | 18189 | OR | Primary |
Addresses
Primary practice location
200 E 2ND St Ste 101
Newberg, OR 97132-3083
Mailing address
200 E 2ND St Ste 101
Newberg, OR 97132-3083
Phone (503) 936-3737
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 |
|---|---|---|---|
| 18189 | OR | MD | Pediatric Emergency Medicine (Pediatrics) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valerie Fitzgerald | Single Specialty | Past | Accepting new patients |
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": "1536019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536019200000",
"number": "1356823579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E 2ND ST STE 101",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971323083",
"telephone_number": "503-936-3737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E 2ND ST STE 101",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971323083",
"telephone_number": "503-936-3737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALUKO",
"first_name": "NINA",
"middle_name": "LYNN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-04",
"last_updated": "2018-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "OR",
"license": "18189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newberg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.