Individual provider Active NPI

Janet Bernhardt, LMT

  • Massage Therapist
  • Coeur d'Alene, ID
National Provider Identifier
1427454446
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MASG-259 Issued in ID
Practice address
1200 W Ironwood Dr
Suite 302
Coeur D Alene, ID 83814-2660
Phone
(208) 755-7580
NPI assigned
Nov 18, 2014
Last updated
Nov 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MASG-259 ID Primary

Addresses

Primary practice location

1200 W Ironwood Dr
Suite 302
Coeur D Alene, ID 83814-2660

Mailing address

269 Sunshine St
Kellogg, ID 83837-9719
Phone (208) 755-7580

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

LicenseStateTypeSpecialty
MASG-259IDMDMassage Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1427454446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 SUNSHINE ST",
            "city": "KELLOGG",
            "state": "ID",
            "postal_code": "838379719",
            "telephone_number": "208-755-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W IRONWOOD DR",
            "address_2": "SUITE 302",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142660",
            "telephone_number": "208-755-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNHARDT",
        "first_name": "JANET",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MASG-259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.

Verify at the official NPI Registry.