Active NPI
Michelle D Krein, LMT
- Massage Therapist
- Eugene, OR
National Provider Identifier
1427698042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 25185
- Practice address
- 485 Alexander Loop Ste 110
Eugene, OR 97401-6753 - Phone
- (541) 423-7009
- Fax
- (541) 600-7235
- NPI assigned
- Jan 11, 2020
- 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 | 25185 | OR | Primary |
Addresses
Primary practice location
485 Alexander Loop Ste 110
Eugene, OR 97401-6753
Mailing address
1285 E St
Springfield, OR 97477-4865
Phone (541) 761-7704
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 |
|---|---|---|---|
| 25185 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackie'S Beauty Supply, LLC | Multi-Specialty | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578700800000",
"number": "1427698042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1285 E ST",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974774865",
"telephone_number": "541-761-7704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 ALEXANDER LOOP STE 110",
"city": "EUGENE",
"state": "OR",
"postal_code": "974016753",
"telephone_number": "541-423-7009",
"fax_number": "541-600-7235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREIN",
"first_name": "MICHELLE",
"middle_name": "D",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-11",
"last_updated": "2020-01-11",
"certification_date": "2020-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "OR",
"license": "25185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.