Individual provider Active NPI

Princess Kipker

  • Massage Therapist
  • San Francisco, CA
National Provider Identifier
1609797380
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
103095 Issued in CA
Practice address
610 Cole St Apt 107
San Francisco, CA 94117-2851
Phone
(256) 221-7907
NPI assigned
Jul 21, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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 103095 CA Primary

Addresses

Primary practice location

610 Cole St Apt 107
San Francisco, CA 94117-2851

Mailing address

610 Cole St Apt 107
San Francisco, CA 94117-2851
Phone (256) 221-7907

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

NPI Registry JSON

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

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1609797380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 COLE ST APT 107",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941172851",
            "telephone_number": "256-221-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 COLE ST APT 107",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941172851",
            "telephone_number": "256-221-7907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIPKER",
        "first_name": "PRINCESS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "103095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.