Crista Black, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

22830 Issued in OR

Practice address

595 S 7TH St
Coos Bay, OR 97420-1301

Phone

(541) 266-7543

Fax

(541) 808-3525

NPI assigned

Sep 29, 2016

Last updated

Sep 29, 2016By the provider in NPPES

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

Practice roles

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.

• Dianna Loudenbeck DC PC

  dba Alternative Healing Center

  • Chiropractor
  • Coos Bay, OR
  • NPI 1932470580
  NPD (past)

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1891244984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 S 7TH ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974201301",
            "telephone_number": "541-266-7543",
            "fax_number": "541-808-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 S 7TH ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974201301",
            "telephone_number": "541-266-7543",
            "fax_number": "541-808-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "CRISTA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "22830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred Andrew Beltran
• Melanie Benson
• Jeffrey K Bert, MD
• Martha Anne Biersner, RD LD MS
• Ralph Girard Bixler, RPH
• Jordan Michael Blacktop, PHD
• Bryon Blackwell, D.C.
• Tiffany Michelle Bland
• Celeste Blanken, DO
• Davina Lynn Bledsoe, FNP-BC

• Massage Therapist in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.