Oregon Garden Resort LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

OREGON GARDEN RESORT LLC

Doing business as

Moonstone Spa

Practice address

895 W Main St
Silverton, OR 97381-2243

Phone

(503) 874-2503

NPI assigned

Aug 25, 2015

Organization subpart

Yes

Parent organization

OREGON GARDEN RESORT LLCAs reported in NPPES

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

Authorized official

Name

Ms. Annabeth Ranae Nelson, LMTNPI 1013312347

Title

Spa Manager

Phone

(503) 874-2503

Specialties & licenses 1

Addresses

Other names 1

• Moonstone Spa Doing business as

Part of

Oregon Garden Resort LLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Annabeth R Nelson, LMT

  • Massage Therapist
  • Silverton, OR
  • NPI 1013312347
  NPD (past) Authorized official

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1366819377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 W MAIN ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973812243",
            "telephone_number": "503-874-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 W MAIN ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973812243",
            "telephone_number": "503-874-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON GARDEN RESORT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OREGON GARDEN RESORT LLC",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ANNABETH",
        "authorized_official_middle_name": "RANAE",
        "authorized_official_title_or_position": "SPA MANAGER",
        "authorized_official_telephone_number": "503-874-2503",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moonstone Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phoenix Senna North, MD
• Northwest Family Medicine L.L.C.
• Olwyn K Davies MD PC
• Oregado Ventures, Inc. (American Ramp Systems)
• Oregon Counseling Collective
• Oregon Sleep Solutions LLC
• Lisa Christina Oreschak, PA-C
• Ort Chiropractic Clinic, LLC
• Joshua David Ort, D.C.
• Chad Jacob Palmer, MS,AT. RET, PA-C

• Massage Therapist in Silverton, OR
• Providers in Silverton, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.