Active NPI
Natalie Renee Nutting, AAS
- Massage Therapist
- Gresham, OR
National Provider Identifier
1407553910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 27060
- Practice address
- 837 E Powell Blvd
Gresham, OR 97030-7617 - Phone
- (503) 669-9495
- NPI assigned
- Feb 14, 2023
- Last updated
- Feb 14, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 27060 | OR | Primary |
Addresses
Primary practice location
837 E Powell Blvd
Gresham, OR 97030-7617
Mailing address
1376 SE Condor PL
Gresham, OR 97080-6126
Phone (503) 341-2138
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
- Credentials
- Associate of Applied Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27060 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Care PC | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676332800000",
"number": "1407553910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1376 SE CONDOR PL",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970806126",
"telephone_number": "503-341-2138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "837 E POWELL BLVD",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970307617",
"telephone_number": "503-669-9495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUTTING",
"first_name": "NATALIE",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "AAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-14",
"last_updated": "2023-02-14",
"certification_date": "2023-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "27060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.