Individual provider Active NPI

Diana Stephens, MT

  • Massage Therapist
  • Kalispell, MT
National Provider Identifier
1588968200
Registry record updated Jan 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
4400476 Issued in MT
Practice address
245 Windward Way
Suite 101
Kalispell, MT 59901-3133
Phone
(406) 756-8488
Fax
(406) 257-4663
NPI assigned
Jan 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 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 4400476 MT Primary

Addresses

Primary practice location

245 Windward Way
Suite 101
Kalispell, MT 59901-3133

Mailing address

245 Windward Way
Suite 101
Kalispell, MT 59901-3133
Phone (406) 756-8488

Other names 1

  • Diana Craft Former name

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
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
4400476MTMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1588968200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 WINDWARD WAY",
            "address_2": "SUITE 101",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013133",
            "telephone_number": "406-756-8488",
            "fax_number": "406-257-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 WINDWARD WAY",
            "address_2": "SUITE 101",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013133",
            "telephone_number": "406-756-8488",
            "fax_number": "406-257-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "DIANA",
        "credential": "MT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2018-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MT",
            "license": "4400476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "CRAFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.