Active NPI
Kara Merkley
- Massage Therapist
- Idaho Falls, ID
National Provider Identifier
1477901056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MAS-2644
- Practice address
- 2450 E 25TH St
Ste C
Idaho Falls, ID 83404-7577 - Phone
- (208) 656-5858
- Fax
- (208) 549-7575
- NPI assigned
- May 24, 2016
- Last updated
- May 24, 2016
- Sex
- Female
- Sole proprietor
- No
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 | MAS-2644 | ID | Primary |
Addresses
Primary practice location
2450 E 25TH St
Ste C
Idaho Falls, ID 83404-7577
Mailing address
1354 E 16TH St
Apt 3
Idaho Falls, ID 83404-4940
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MAS-2644 | Other | ID | STATE OF IDAHO BOL |
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 |
|---|---|---|---|
| MAS-2644 | ID | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Del Holdings, LLC | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464048000000",
"number": "1477901056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1354 E 16TH ST",
"address_2": "APT 3",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834044940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 E 25TH ST",
"address_2": "STE C",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047577",
"telephone_number": "208-656-5858",
"fax_number": "208-549-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERKLEY",
"first_name": "KARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-24",
"last_updated": "2016-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ID",
"license": "MAS-2644",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF IDAHO BOL",
"identifier": "MAS-2644",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.