Active NPI
Kristin K O'Brien, LMP
- Massage Therapist
- Puyallup, WA
National Provider Identifier
1396738258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00020126
- Practice address
- 16515 Meridian E
Ste 103B
Puyallup, WA 98375-6251 - Phone
- (253) 548-5523
- Fax
- (253) 845-5811
- NPI assigned
- Aug 25, 2005
- 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 | MA00020126 | WA | Primary |
Addresses
Primary practice location
16515 Meridian E
Ste 103B
Puyallup, WA 98375-6251
Mailing address
22008 51St Avenue CT E
Spanaway, WA 98387-6833
Phone (253) 548-5523
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3082MO | Other | WA | REGENCE B/S |
| 8939816 | Other | WA | CRIME VICTIMS |
| 193033 | Other | WA | DEPT OF L&I |
Other names 1
- Kristin K Morris
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 |
|---|---|---|---|
| MA00020126 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jessica Jaramillo, LLC | Massage Therapist | 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 and National Provider Directory roles.
-
- Massage Therapist
- Puyallup, WA
- NPI 1477113587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388620800000",
"number": "1396738258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22008 51ST AVENUE CT E",
"city": "SPANAWAY",
"state": "WA",
"postal_code": "983876833",
"telephone_number": "253-548-5523",
"fax_number": "253-845-5811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16515 MERIDIAN E",
"address_2": "STE 103B",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983756251",
"telephone_number": "253-548-5523",
"fax_number": "253-845-5811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "KRISTIN",
"middle_name": "K",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-25",
"last_updated": "2014-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00020126",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE B/S",
"identifier": "3082MO",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRIME VICTIMS",
"identifier": "8939816",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF L&I",
"identifier": "193033",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "MORRIS",
"middle_name": "K",
"credential": "LMP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.