Individual provider Active NPI

Krissie Previte, LMT

  • Massage Therapist
  • Manahawkin, NJ
National Provider Identifier
1679994040
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
18KT00592600 Issued in NJ
Practice address
53 Ocean Breeze CT
Manahawkin, NJ 08050-3346
Phone
(609) 489-2011
NPI assigned
Jan 2, 2014
Last updated
Jan 2, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2014

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 18KT00592600 NJ Primary

Addresses

Primary practice location

53 Ocean Breeze CT
Manahawkin, NJ 08050-3346

Mailing address

53 Ocean Breeze CT
Manahawkin, NJ 08050-3346
Phone (609) 489-2011

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
18KT00592600NJMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1679994040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 OCEAN BREEZE CT",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503346",
            "telephone_number": "609-489-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 OCEAN BREEZE CT",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503346",
            "telephone_number": "609-489-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREVITE",
        "first_name": "KRISSIE",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT00592600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.