Kellie M Berube, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT6069 Issued in ME

Practice address

11 Lorette LN
Augusta, ME 04330-4264

Phone

(207) 441-7721

NPI assigned

Aug 9, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1801524806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 MONROE ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043304023",
            "telephone_number": "207-441-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 LORETTE LN",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043304264",
            "telephone_number": "207-441-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERUBE",
        "first_name": "KELLIE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ME",
            "license": "MT6069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Bernier
• Therese Berniger
• Cynthia R Bernstein, CCC-SLP
• Andrea Berry
• Anne Marie Berry, LCSW
• R. Robert Berube, DDS
• Katie Lynn Bessey
• Betsy Ann Ross House of Hope (Sisters in Arms Center)
• Caitlin Bevvino-Ring
• Annette M Beyea, D.O.

• Massage Therapist in Augusta, ME
• Providers in Augusta, ME by specialty
• Massage Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.