Individual provider Active NPI

Katheryne Tobin James, HHP, CMT, MQT

  • Massage Therapist
  • San Jose, CA
National Provider Identifier
1619508538
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
51874 Issued in CA
Practice address
1165 Lincoln Ave
San Jose, CA 95125-3043
Phone
(408) 234-5902
NPI assigned
Jan 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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 51874 CA Primary

Addresses

Primary practice location

1165 Lincoln Ave
San Jose, CA 95125-3043

Mailing address

1501 Naglee Ave
San Jose, CA 95126-2012
Phone (408) 234-5902

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.MassageBook.com/biz/divinbodyandsoul Health Information Exchange (HIE)

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": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1619508538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 NAGLEE AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262012",
            "telephone_number": "408-234-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 LINCOLN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951253043",
            "telephone_number": "408-234-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "KATHERYNE",
        "middle_name": "TOBIN",
        "credential": "HHP,  CMT, MQT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "51874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.MassageBook.com/biz/divinbodyandsoul",
            "affiliation": "N",
            "endpointDescription": "SOAPS",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1165 Lincoln Ave",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951253043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.