Individual provider Active NPI

Brianne Lashae Stubbs, MASSAGE THERAPIST

  • Massage Therapist
  • Eugene, OR
National Provider Identifier
1457917015
Registry record updated May 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
24914 Issued in OR
Practice address
323 Goodpasture Island Rd
Eugene, OR 97401-2109
Phone
(458) 210-2982
NPI assigned
May 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2019

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 24914 OR Primary

Addresses

Primary practice location

323 Goodpasture Island Rd
Eugene, OR 97401-2109

Mailing address

323 Goodpasture Island Rd
Eugene, OR 97401-2109
Phone (458) 210-2982

Other practice location 1

913 SW 16th Ave
Portland, OR 97205-1730
Phone (503) 228-5000

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
24914ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa Miesen, PC Massage Therapist Past Accepting new patients
Ifinish Strong LLC Past Accepting new patients
Equilibrium LLC PastSince Jan 4, 2006 Accepting new patients

Organizations & group practices 3

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": "1558137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558137600000",
    "number": "1457917015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 GOODPASTURE ISLAND RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012109",
            "telephone_number": "458-210-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 GOODPASTURE ISLAND RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012109",
            "telephone_number": "458-210-2982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "913 SW 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972051730",
            "country_code": "US",
            "telephone_number": "503-228-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUBBS",
        "first_name": "BRIANNE",
        "middle_name": "LASHAE",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-18",
        "last_updated": "2019-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "24914",
            "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 May 18, 2019; 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.