Individual provider Active NPI

Kristen Lyn Nardo, LMT

  • Massage Therapist
  • Medina, OH
National Provider Identifier
1922707215
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
33.018970 Issued in OH
Practice address
5019 Victor Dr Ste a
Medina, OH 44256-8237
Phone
(330) 722-7709
NPI assigned
Feb 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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 33.018970 OH Primary

Addresses

Primary practice location

5019 Victor Dr Ste a
Medina, OH 44256-8237

Mailing address

5019 Victor Dr Ste a
Medina, OH 44256-8237
Phone (330) 722-7709

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
33.018970OHMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Medina Family Chiropractic Center Inc. CurrentSince Mar 5, 2023 Accepting new patients

Locations

5019 Victor Dr
Ste A
Medina, OH 44256
Phone (330) 722-7709

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.

NPI Registry JSON

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1922707215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5019 VICTOR DR STE A",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568237",
            "telephone_number": "330-722-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5019 VICTOR DR STE A",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568237",
            "telephone_number": "330-722-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARDO",
        "first_name": "KRISTEN",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.018970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.