Active NPI
Karen Ingram LMT, LMT
- Massage Therapist
- Blue Springs, MO
National Provider Identifier
1629463245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2008003156
- Practice address
- 708 NW R D Mize Rd Ste F
Blue Springs, MO 64015-3700 - Phone
- (816) 726-4590
- NPI assigned
- Mar 31, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reflexologist | 173C00000X | |||
| Massage Therapist | 225700000X | 2008003156 | MO | Primary |
Addresses
Primary practice location
708 NW R D Mize Rd Ste F
Blue Springs, MO 64015-3700
Mailing address
708 NW R D Mize Rd Ste F
Blue Springs, MO 64015-3700
Phone (816) 726-4590
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2008003156 | MO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427760000000",
"number": "1629463245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 NW R D MIZE RD STE F",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640153700",
"telephone_number": "816-726-4590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 NW R D MIZE RD STE F",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640153700",
"telephone_number": "816-726-4590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM LMT",
"first_name": "KAREN",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-31",
"last_updated": "2015-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MO",
"license": "2008003156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.