Active NPI
Colethie Adams
- Massage Therapist
- El Cerrito, CA
National Provider Identifier
1679329643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 96139
- Practice address
- 230 El Cerrito PLZ
El Cerrito, CA 94530-4003 - Phone
- (510) 345-3035
- NPI assigned
- Apr 29, 2024
- 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 | 96139 | CA | Primary |
Addresses
Primary practice location
230 El Cerrito PLZ
El Cerrito, CA 94530-4003
Mailing address
1438 Alcatraz Ave Apt B
Berkeley, CA 94702-2757
Phone (707) 386-8291
Other names 1
- Kamil Adams
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 |
|---|---|---|---|
| 96139 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714348800000",
"number": "1679329643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1438 ALCATRAZ AVE APT B",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947022757",
"telephone_number": "707-386-8291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 EL CERRITO PLZ",
"city": "EL CERRITO",
"state": "CA",
"postal_code": "945304003",
"telephone_number": "510-345-3035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "COLETHIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-29",
"last_updated": "2024-04-29",
"certification_date": "2024-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "96139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAMIL",
"last_name": "ADAMS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in El Cerrito, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.