Individual provider Active NPI

Brightstar BJ Harmon-Inyang

  • Massage Therapist
  • Hastings, MN
National Provider Identifier
1932407699
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
12-06-10 Issued in MN
Practice address
427 Vermillion St
Hastings, MN 55033-1937
Phone
(612) 961-7651
NPI assigned
Mar 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 12-06-10 MN Primary
Massage Therapist 225700000X 10630-146 WI

Addresses

Primary practice location

427 Vermillion St
Hastings, MN 55033-1937

Mailing address

PO Box 28262
Oakdale, MN 55128-0262
Phone (612) 961-7651

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
10630-146WIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brightstar Healing Therapy Massage Therapist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1932407699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28262",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551280262",
            "telephone_number": "612-961-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 VERMILLION ST",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550331937",
            "telephone_number": "612-961-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON-INYANG",
        "first_name": "BRIGHTSTAR",
        "middle_name": "BJ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-04",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MN",
            "license": "12-06-10",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "10630-146",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.