Tawnya Renee Grogan

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

19490 Issued in OR

Practice address

2455 McGilchrist St SE
Salem, OR 97302-1116

Phone

(503) 510-1522

NPI assigned

Jan 24, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tawnya Renee Grogan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1467950485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 DRIFT CREEK RD NE",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973819587",
            "telephone_number": "503-510-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 MCGILCHRIST ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021116",
            "telephone_number": "503-510-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROGAN",
        "first_name": "TAWNYA",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "19490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAWNYA",
            "last_name": "GROGAN",
            "middle_name": "RENEE",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Chrystal Grimes
• Deonne Grimmer
• Maxwell Grimsrud
• Karen E Grisham, PSYCHIATRIC MENTAL H
• Michael John Groat, MA, LPC
• Nicole Groll, OTR/L
• Ashly Groom
• Natasha Groom, THW, CRM, PSS
• Alexi Gross, MA, LCMHC, LCAS
• Heidi Elizabeth Gross, LMT

• Massage Therapist in Salem, OR
• Providers in Salem, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.