Active NPI
Kaelyn Crenshaw, MT, DOULA, LE
- Massage Therapist
- Sacramento, CA
National Provider Identifier
1932532983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 16687
- Practice address
- 225 30TH St Ste 303
Sacramento, CA 95816-3359 - Phone
- (916) 226-0527
- NPI assigned
- Aug 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 16687 | CA | |
| Health Educator | 174H00000X | |||
| Lactation Consultant (Non-RN) | 174N00000X | CA | ||
| Doula | 374J00000X | |||
| Massage Therapist | 225700000X | 16687 | CA | Primary |
Addresses
Primary practice location
225 30TH St Ste 303
Sacramento, CA 95816-3359
Mailing address
225 30TH St Ste 303
Sacramento, CA 95816-3359
Phone (916) 226-0527
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16687 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serene Relaxation LLC | Community Health Worker | Current | Accepting new patients |
Locations
225 30th St
Ste 303
Sacramento, CA 95816
Phone (916) 226-0527
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": "1376438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1932532983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 30TH ST STE 303",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958163359",
"telephone_number": "916-226-0527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 30TH ST STE 303",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958163359",
"telephone_number": "916-226-0527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRENSHAW",
"first_name": "KAELYN",
"credential": "MT, DOULA, LE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-14",
"last_updated": "2023-12-13",
"certification_date": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": "16687",
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "16687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.