Active NPI
Kelly R. Culver, LMP
- Massage Therapist
- Kennewick, WA
National Provider Identifier
1457534422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00018067
- Practice address
- 407 W 29TH Ave
Kennewick, WA 99337-5013 - Phone
- (509) 586-4587
- Fax
- (888) 349-8276
- NPI assigned
- Dec 12, 2007
- 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 | MA00018067 | WA | Primary |
Addresses
Primary practice location
407 W 29TH Ave
Kennewick, WA 99337-5013
Mailing address
407 W 29TH Ave
Kennewick, WA 99337-5013
Phone (509) 586-4587
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0202335 | Other | WA | DEPT. OF LABOR AND INDUST |
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 |
|---|---|---|---|
| MA00018067 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298937600000",
"number": "1457534422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 W 29TH AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993375013",
"telephone_number": "509-586-4587",
"fax_number": "888-349-8276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 W 29TH AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993375013",
"telephone_number": "509-586-4587",
"fax_number": "888-349-8276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULVER",
"first_name": "KELLY",
"middle_name": "R.",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-12",
"last_updated": "2011-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00018067",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF LABOR AND INDUST",
"identifier": "0202335",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.