Individual provider Active NPI

Anna Lea Krupicka, LMT

  • Massage Therapist
  • Longmont, CO
National Provider Identifier
1861216640
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0025939 Issued in CO
Practice address
630 Coffman St Ste B
Longmont, CO 80501-8303
Phone
(303) 652-3533
NPI assigned
Nov 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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 0025939 CO Primary

Addresses

Primary practice location

630 Coffman St Ste B
Longmont, CO 80501-8303

Mailing address

630 Coffman St Ste B
Longmont, CO 80501-8303
Phone (303) 652-3533

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
0025939COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Be Well Bodyworks Massage Therapist PastSince Nov 10, 2024 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1861216640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 COFFMAN ST STE B",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805018303",
            "telephone_number": "303-652-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 COFFMAN ST STE B",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805018303",
            "telephone_number": "303-652-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUPICKA",
        "first_name": "ANNA",
        "middle_name": "LEA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "0025939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.