Individual provider Active NPI

Amy Njenga, LMT

  • Massage Therapist
  • Moore, OK
National Provider Identifier
1457899288
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
172258-0 Issued in OK
Practice address
103 N Broadway St Ste B
Moore, OK 73160-5108
Phone
(405) 514-7910
NPI assigned
Jan 31, 2017
Last updated
Feb 1, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 0043678 OK
Massage Therapist 225700000X 172258-0 OK Primary

Addresses

Primary practice location

103 N Broadway St Ste B
Moore, OK 73160-5108

Mailing address

103 N Broadway St Ste B
Moore, OK 73160-5108
Phone (405) 514-7910

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
0043678OKMDLicensed Practical Nurse
172258-0OKMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1457899288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N BROADWAY ST STE B",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605108",
            "telephone_number": "405-514-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N BROADWAY ST STE B",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605108",
            "telephone_number": "405-514-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NJENGA",
        "first_name": "AMY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "0043678",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OK",
            "license": "172258-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.