Active NPI
Carrie Lynn Anderson, LMT
- Massage Therapist
- Grand Forks, ND
National Provider Identifier
1396287629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 1602
- Practice address
- 1726 S Washington St Ste 79
Grand Forks, ND 58201-6370 - Phone
- (701) 738-0990
- NPI assigned
- Nov 17, 2016
- Last updated
- Mar 17, 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 | 1602 | ND | Primary |
Addresses
Primary practice location
1726 S Washington St Ste 79
Grand Forks, ND 58201-6370
Mailing address
1395 S Columbia Rd
Suite a, Box 245
Grand Forks, ND 58201-4054
Phone (701) 330-9359
Other practice location 1
45 1st Ave SE
Mayville, ND 58257-1404
Phone (701) 786-4024
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 |
|---|---|---|---|
| 1602 | ND | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renewed Hope Chiropractic, LLC | 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.
-
dba Renewed Hope Chiropractic
- Chiropractor
- Grand Forks, ND
- NPI 1851532949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1396287629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1395 S COLUMBIA RD",
"address_2": "SUITE A, BOX 245",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014054",
"telephone_number": "701-330-9359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1726 S WASHINGTON ST STE 79",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582016370",
"telephone_number": "701-738-0990"
}
],
"practiceLocations": [
{
"address_1": "45 1st Ave SE",
"address_purpose": "LOCATION",
"city": "Mayville",
"state": "ND",
"postal_code": "582571404",
"country_code": "US",
"telephone_number": "701-786-4024",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "CARRIE",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-17",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ND",
"license": "1602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.