Individual provider Active NPI

Kenya Nakisha Mendez

  • Massage Therapist
  • Colorado Springs, CO
National Provider Identifier
1427763408
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
2960 N Academy Blvd Ste 102
Colorado Springs, CO 80917-5302
Phone
(719) 508-1322
NPI assigned
Jan 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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 Primary

Addresses

Primary practice location

2960 N Academy Blvd Ste 102
Colorado Springs, CO 80917-5302

Mailing address

2960 N Academy Blvd Ste 102
Colorado Springs, CO 80917-5302
Phone (719) 508-1322

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.vagaro.com/breathespiritualrejuvenationandwellnessspa

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

NPI Registry JSON

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1427763408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 N ACADEMY BLVD STE 102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175302",
            "telephone_number": "719-508-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 N ACADEMY BLVD STE 102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175302",
            "telephone_number": "719-508-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "KENYA",
        "middle_name": "NAKISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.vagaro.com/breathespiritualrejuvenationandwellnessspa",
            "affiliation": "N",
            "address_1": "2960 N Academy Blvd Ste 102",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809175302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.

Verify at the official NPI Registry.