Active NPI
Kim Smith, MASSAGE THERAPIST
- Massage Therapist
- Hastings, MI
National Provider Identifier
1720359748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 1170 S Charlton Park Rd
Hastings, MI 49058-9199 - Phone
- (616) 795-1393
- NPI assigned
- Jan 23, 2012
- 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 | MI | Primary |
Addresses
Primary practice location
1170 S Charlton Park Rd
Hastings, MI 49058-9199
Mailing address
1170 S Charlton Park Rd
Hastings, MI 49058-9199
Phone (616) 795-1393
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327276800000",
"number": "1720359748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1170 S CHARLTON PARK RD",
"city": "HASTINGS",
"state": "MI",
"postal_code": "490589199",
"telephone_number": "616-795-1393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1170 S CHARLTON PARK RD",
"city": "HASTINGS",
"state": "MI",
"postal_code": "490589199",
"telephone_number": "616-795-1393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KIM",
"credential": "MASSAGE THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-23",
"last_updated": "2012-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hastings, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.