NPIMap

Organization Active NPI

Kiva Crutcher

  • Massage Therapist
  • Hixson, TN
National Provider Identifier
1376946392
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
8241 Issued in TN
Legal business name
KIVA CRUTCHER
Practice address
1127 Plaza Dr
Hixson, TN 37343-5021
Phone
(423) 704-1171
NPI assigned
Oct 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Authorized official

Name
Mrs. Kiva L Crutcher, LMTNPI 1659974582
Title
Massage Therapist
Phone
(423) 704-1171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X 8241 TN Primary

Addresses

Primary practice location

1127 Plaza Dr
Hixson, TN 37343-5021

Mailing address

1127 Plaza Dr
Hixson, TN 37343-5021
Phone (423) 704-1171

National Provider Directory

National Provider Directory

Locations

80 Church St NE
#82C
Concord, NC 28025

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1412380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1376946392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 PLAZA DR",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435021",
            "telephone_number": "423-704-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 PLAZA DR",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435021",
            "telephone_number": "423-704-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIVA CRUTCHER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-04",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "CRUTCHER",
        "authorized_official_first_name": "KIVA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "423-704-1171",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "TN",
            "license": "8241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.