Active NPI
Monica M Kenyon, C.M.T.
- Massage Therapist
- Hollywood, CA
National Provider Identifier
1861510141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- P2014336-P955
- Practice address
- 6464 W Sunset Blvd
Ste #947
Hollywood, CA 90028-8001 - Phone
- (323) 466-7688
- Fax
- (323) 466-7799
- NPI assigned
- Mar 26, 2007
- Last updated
- Jul 8, 2007
- 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 | P2014336-P955 | CA | Primary |
Addresses
Primary practice location
6464 W Sunset Blvd
Ste #947
Hollywood, CA 90028-8001
Mailing address
6464 W Sunset Blvd
Ste #947
Hollywood, CA 90028-8001
Phone (323) 466-7688
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 |
|---|---|---|---|
| P2014336-P955 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meshkanian Chiropractic Corporation | 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.
-
dba Hoolywood Health Clinic
- Chiropractor
- Hollywood, CA
- NPI 1891931630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861510141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6464 W SUNSET BLVD",
"address_2": "STE #947",
"city": "HOLLYWOOD",
"state": "CA",
"postal_code": "900288001",
"telephone_number": "323-466-7688",
"fax_number": "323-466-7799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6464 W SUNSET BLVD",
"address_2": "STE #947",
"city": "HOLLYWOOD",
"state": "CA",
"postal_code": "900288001",
"telephone_number": "323-466-7688",
"fax_number": "323-466-7799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENYON",
"first_name": "MONICA",
"middle_name": "M",
"credential": "C.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "P2014336-P955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.