Kyren Ellery Epperson, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

227022781 Issued in IL

Practice address

6961 N Clark St
Chicago, IL 60626-3222

Phone

(312) 469-0505

NPI assigned

Feb 5, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Erin Hillary Epperson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Culture of Safety

  • Clinic/Center
  • Chicago, IL
  • NPI 1437913068
  NPD Authorized official

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1639932460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6961 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606263222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6961 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606263222",
            "telephone_number": "312-469-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPERSON",
        "first_name": "KYREN",
        "middle_name": "ELLERY",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227022781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "EPPERSON",
            "middle_name": "HILLARY",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Epiq Billing Solutions, LLC
• Epitome of Care & Quality Inc
• Alice A Epley-Tischer, LCSW
• Rachel K Epley, LPC, MT-BC
• Sydney Eppehimer
• Walter John Eppich, MD
• Myra Epping, MSW
• Ashunti Epps
• Stacie Epps
• Stacy Renne Epps, CCDC CCJS CDP AT CAD

• Massage Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Massage Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.