Active NPI
Kellee Denise Whipple, L.M.T.
- Massage Therapist
- Lapwai, ID
National Provider Identifier
1629528617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MAS-1084
- Practice address
- 111 Bever Grade Rd
Lapwai, ID 83540-0367 - Phone
- (208) 843-2271
- Fax
- (208) 843-2658
- NPI assigned
- Oct 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MAS-1084 | ID | Primary |
Addresses
Primary practice location
111 Bever Grade Rd
Lapwai, ID 83540-0367
Mailing address
PO Drawer 367
Lapwai, ID 83540-0367
Phone (208) 843-2271
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 |
|---|---|---|---|
| MAS-1084 | ID | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476316800000",
"number": "1629528617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO DRAWER 367",
"city": "LAPWAI",
"state": "ID",
"postal_code": "835400367",
"telephone_number": "208-843-2271",
"fax_number": "208-843-2658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 BEVER GRADE RD",
"city": "LAPWAI",
"state": "ID",
"postal_code": "835400367",
"telephone_number": "208-843-2271",
"fax_number": "208-843-2658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHIPPLE",
"first_name": "KELLEE",
"middle_name": "DENISE",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-13",
"last_updated": "2016-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ID",
"license": "MAS-1084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lapwai, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.