Individual provider Active NPI

Amanda Kay Rawson, LMT

  • Massage Therapist
  • Oxford, NE
National Provider Identifier
1366060592
Registry record updated Aug 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
3549 Issued in NE
Practice address
407 E Bright St
Oxford, NE 68967-7802
Phone
(308) 991-9990
NPI assigned
Jul 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA61040020 WA
Massage Therapist 225700000X 3549 NE Primary

Addresses

Primary practice location

407 E Bright St
Oxford, NE 68967-7802

Mailing address

407 E Bright St
Oxford, NE 68967-7802
Phone (308) 991-9990

Other practice location 1

4520 Intelco Loop SE Ste 4E
Lacey, WA 98503-6012
Phone (360) 402-6776

Other practice location 2

1412 E Yelm Ave Ste C101
Yelm, WA 98597-8328
Phone (360) 458-7533

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
3549NEMDMassage Therapist
MA61040020WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596326400000",
    "number": "1366060592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E BRIGHT ST",
            "city": "OXFORD",
            "state": "NE",
            "postal_code": "689677802",
            "telephone_number": "308-991-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E BRIGHT ST",
            "city": "OXFORD",
            "state": "NE",
            "postal_code": "689677802",
            "telephone_number": "308-991-9990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4520 Intelco Loop SE Ste 4E",
            "address_purpose": "LOCATION",
            "city": "Lacey",
            "state": "WA",
            "postal_code": "985036012",
            "country_code": "US",
            "telephone_number": "360-402-6776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1412 E Yelm Ave Ste C101",
            "address_purpose": "LOCATION",
            "city": "Yelm",
            "state": "WA",
            "postal_code": "985978328",
            "country_code": "US",
            "telephone_number": "360-458-7533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAWSON",
        "first_name": "AMANDA",
        "middle_name": "KAY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-08-02",
        "certification_date": "2020-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61040020",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NE",
            "license": "3549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2020; 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.