Active NPI
Britney Ann Carreon, LMT
- Massage Therapist
- Redmond, OR
National Provider Identifier
1699387126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 20778
- Practice address
- 1397 NW 6TH St BLDG 19a
Redmond, OR 97756-1433 - Phone
- (541) 279-0733
- NPI assigned
- Aug 17, 2020
- 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 | 20778 | OR | Primary |
Addresses
Primary practice location
1397 NW 6TH St BLDG 19a
Redmond, OR 97756-1433
Mailing address
3253 SW Newberry Ave
Redmond, OR 97756-8952
Phone (541) 279-0733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 93029 | Other | OR | PACIFIC SOURCE HEALTH PLAN |
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 |
|---|---|---|---|
| 20778 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1699387126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3253 SW NEWBERRY AVE",
"city": "REDMOND",
"state": "OR",
"postal_code": "977568952",
"telephone_number": "541-279-0733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1397 NW 6TH ST BLDG 19A",
"city": "REDMOND",
"state": "OR",
"postal_code": "977561433",
"telephone_number": "541-279-0733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARREON",
"first_name": "BRITNEY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-17",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "20778",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFIC SOURCE HEALTH PLAN",
"identifier": "93029",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Redmond, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.