Organization Active NPI

The Upcountry Massage Co,LLC

  • Massage Therapist
  • Makawao, HI
National Provider Identifier
1477923969
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
THE UPCOUNTRY MASSAGE CO,LLC
Practice address
7 Aewa PL Ste 12
Makawao, HI 96768-8882
Phone
(808) 572-5959
Fax
(808) 572-0394
NPI assigned
Sep 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Authorized official

Name
Mr. Michelle 'Nikki' Janssen, LMT
Title
Owner/Principal Therapist
Phone
(808) 572-5959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

7 Aewa PL Ste 12
Makawao, HI 96768-8882

Mailing address

PO Box 692
Kula, HI 96790-0692
Phone (808) 572-5959

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1477923969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 692",
            "city": "KULA",
            "state": "HI",
            "postal_code": "967900692",
            "telephone_number": "808-572-5959",
            "fax_number": "808-572-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 AEWA PL STE 12",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967688882",
            "telephone_number": "808-572-5959",
            "fax_number": "808-572-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE UPCOUNTRY MASSAGE CO,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-28",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "JANSSEN",
        "authorized_official_first_name": "MICHELLE 'NIKKI'",
        "authorized_official_title_or_position": "OWNER/PRINCIPAL THERAPIST",
        "authorized_official_telephone_number": "808-572-5959",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Makawao, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.