Active NPI
Katie E Stock, L.M.T
- Massage Therapist
- Fargo, ND
National Provider Identifier
1689096125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 1023
- Practice address
- 2553 Kirsten LN S Ste 207
Fargo, ND 58104-4901 - Phone
- (701) 730-3867
- Fax
- (701) 356-2992
- NPI assigned
- Jan 17, 2014
- Last updated
- Jan 17, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 1023 | ND | Primary |
Addresses
Primary practice location
2553 Kirsten LN S Ste 207
Fargo, ND 58104-4901
Mailing address
2553 Kirsten LN S Ste 207
Fargo, ND 58104-4901
Phone (701) 730-3867
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Venture Chiropractic PA Corp | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389916800000",
"number": "1689096125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2553 KIRSTEN LN S STE 207",
"city": "FARGO",
"state": "ND",
"postal_code": "581044901",
"telephone_number": "701-730-3867",
"fax_number": "701-356-2992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2553 KIRSTEN LN S STE 207",
"city": "FARGO",
"state": "ND",
"postal_code": "581044901",
"telephone_number": "701-730-3867",
"fax_number": "701-356-2992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCK",
"first_name": "KATIE",
"middle_name": "E",
"credential": "L.M.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-17",
"last_updated": "2014-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ND",
"license": "1023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.