Individual provider Active NPI

Tina Barner Smith

  • Massage Therapist
  • Olathe, KS
National Provider Identifier
1578071437
Registry record updated Jan 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
18-T-00101 Issued in KS
Practice address
14670 S Harrison St
Olathe, KS 66061-7224
Phone
(913) 938-4786
NPI assigned
Jan 12, 2018
Last updated
Jan 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2018

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 18-T-00101 KS Primary

Addresses

Primary practice location

14670 S Harrison St
Olathe, KS 66061-7224

Mailing address

224 Bedford St
Gardner, KS 66030-1186
Phone (708) 495-3620

Other identifiers 2

IdentifierTypeStateIssuer
18-T-00101OtherKSBCBS
18-T-00101MedicaidKS

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
18-T-00101KSMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515974400000",
    "number": "1578071437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 BEDFORD ST",
            "city": "GARDNER",
            "state": "KS",
            "postal_code": "660301186",
            "telephone_number": "708-495-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14670 S HARRISON ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617224",
            "telephone_number": "913-938-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNER SMITH",
        "first_name": "TINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "KS",
            "license": "18-T-00101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "18-T-00101",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18-T-00101",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.