Individual provider Active NPI

Kristin Elisabeth Nance, LMT

  • Massage Therapist
  • Eugene, OR
National Provider Identifier
1659156412
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
27852 Issued in OR
Practice address
1245 Charnelton St Ste 7
Eugene, OR 97401-6206
Phone
(541) 515-0232
NPI assigned
Aug 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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 27852 OR Primary

Addresses

Primary practice location

1245 Charnelton St Ste 7
Eugene, OR 97401-6206

Mailing address

2818 Warren St
Eugene, OR 97405-1121
Phone (541) 450-3586

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

LicenseStateTypeSpecialty
27852ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Therapeutics LLC Massage Therapist CurrentSince Jul 21, 2024 Accepting new patients

Locations

1245 Charnelton St
Ste 7
Eugene, OR 97401
Phone (541) 515-0232

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1659156412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 WARREN ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974051121",
            "telephone_number": "541-450-3586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 CHARNELTON ST STE 7",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016206",
            "telephone_number": "541-515-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANCE",
        "first_name": "KRISTIN",
        "middle_name": "ELISABETH",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "27852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.