Individual provider Active NPI

Carla Jenifer Fuerst, L.M.T

  • Massage Therapist
  • Medford, OR
National Provider Identifier
1548469158
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
14158 Issued in OR
Practice address
977 Royal Ave
Medford, OR 97504-6140
Phone
(541) 779-8331
Fax
(541) 779-0217
NPI assigned
Jul 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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 14158 OR Primary

Addresses

Primary practice location

977 Royal Ave
Medford, OR 97504-6140

Mailing address

977 Royal Ave
Medford, OR 97504-6140
Phone (541) 779-8331

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
14158ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Oregon Chiropractic, LLC PastSince Jan 1, 2016 Accepting new patients
Towne Chiropractic Clinic P.C. Past Accepting new patients

Organizations & group practices 2

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": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1548469158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "977 ROYAL AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046140",
            "telephone_number": "541-779-8331",
            "fax_number": "541-779-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977 ROYAL AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046140",
            "telephone_number": "541-779-8331",
            "fax_number": "541-779-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUERST",
        "first_name": "CARLA",
        "middle_name": "JENIFER",
        "name_prefix": "Ms.",
        "credential": "L.M.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "14158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.