Brenna Marie Moore, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

11256 Issued in HI

Practice address

77-6537 Naniloa Dr
Kailua Kona, HI 96740-2425

Phone

(808) 896-3513

NPI assigned

Jun 30, 2021

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Healing Alchemy LTD

  • Massage Therapist
  • Kailua Kona, HI
  • NPI 1902476922
  NPD Authorized official

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1871163899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1649",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967501649",
            "telephone_number": "808-896-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77-6537 NANILOA DR",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402425",
            "telephone_number": "808-896-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BRENNA",
        "middle_name": "MARIE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "11256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Molinaro
• Monica Scheel MD LLC
• Christina Montalva, APRN
• Hannah Montanye, PA-C
• Dana Lizabeth Moody, MFT
• David Moore, RPH
• Eugene Field Moore, M.D., CFAAFP
• Lei Awapuhi Moore
• Natalie Moore, LCSW
• April Eve Moran, LPC

• Massage Therapist in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Massage Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.