Active NPI
Kimberly Anne Meyer
- Massage Therapist
- Kensington, MD
National Provider Identifier
1396398194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 10412 Montgomery Ave
Kensington, MD 20895-3329 - Phone
- (301) 758-4582
- NPI assigned
- Jul 20, 2019
- 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 | MD | Primary |
Addresses
Primary practice location
10412 Montgomery Ave
Kensington, MD 20895-3329
Mailing address
1336 Hornell Dr
Silver Spring, MD 20905-3774
Phone (301) 421-9295
Other practice location 1
17959 ashton club way
ashton, MD 20861
Phone (301) 758-4582
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 97124 | Other | MD | MASSAGE THERAPY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563580800000",
"number": "1396398194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1336 HORNELL DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209053774",
"telephone_number": "301-421-9295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10412 MONTGOMERY AVE",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "208953329",
"telephone_number": "301-758-4582"
}
],
"practiceLocations": [
{
"address_1": "17959 ashton club way",
"address_purpose": "LOCATION",
"city": "ashton",
"state": "MD",
"postal_code": "20861",
"country_code": "US",
"telephone_number": "301-758-4582",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEYER",
"first_name": "KIMBERLY",
"middle_name": "ANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-20",
"last_updated": "2019-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPY",
"identifier": "97124",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kensington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.