Active NPI
Karena Leann Damm
- Massage Therapist
- Brookings, SD
National Provider Identifier
1417739145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT11836
- Practice address
- 1040 22ND Ave S
Brookings, SD 57006-2803 - Phone
- (605) 692-5728
- NPI assigned
- Oct 17, 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 | MT11836 | SD | Primary |
Addresses
Primary practice location
1040 22ND Ave S
Brookings, SD 57006-2803
Mailing address
1040 22ND Ave S
Brookings, SD 57006-2803
Phone (605) 692-5728
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 |
|---|---|---|---|
| MT11836 | SD | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Krave | Massage Therapist | Current | Accepting new patients |
Locations
1040 22nd Ave S
Brookings, SD 57006
Phone (605) 692-5728
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.
-
- Massage Therapist
- Brookings, SD
- NPI 1184490344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1417739145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 22ND AVE S",
"city": "BROOKINGS",
"state": "SD",
"postal_code": "570062803",
"telephone_number": "605-692-5728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 22ND AVE S",
"city": "BROOKINGS",
"state": "SD",
"postal_code": "570062803",
"telephone_number": "605-692-5728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMM",
"first_name": "KARENA",
"middle_name": "LEANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-17",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "SD",
"license": "MT11836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookings, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.