Individual provider Active NPI

Rose Marie Craynon, LMT

  • Massage Therapist
  • Mount Sterling, KY
National Provider Identifier
1891044244
Registry record updated Aug 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
KY-493 Issued in KY
Practice address
107 Brandon Way
Mount Sterling, KY 40353-8500
Phone
(859) 499-1009
NPI assigned
Aug 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2012

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 KY-493 KY Primary

Addresses

Primary practice location

107 Brandon Way
Mount Sterling, KY 40353-8500

Mailing address

107 Brandon Way
Mount Sterling, KY 40353-8500
Phone (859) 499-1009

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
KY-493KYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Linton Spine & Joint Center, LLC PastSince Jul 1, 2011 Accepting new patients
Back Talk Chiropractic PSC Past Accepting new patients

Organizations & group practices 2

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": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1891044244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 BRANDON WAY",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403538500",
            "telephone_number": "859-499-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 BRANDON WAY",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403538500",
            "telephone_number": "859-499-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAYNON",
        "first_name": "ROSE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-31",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "KY",
            "license": "KY-493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Sterling, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.

Verify at the official NPI Registry.