Individual provider Active NPI

Andrianna Laurent, LMT

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1972496677
Registry record updated May 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
28868 Issued in OR
Practice address
1111 SE Stephens St
Portland, OR 97214-4748
Phone
(971) 544-7058
NPI assigned
May 31, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2025

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 28868 OR Primary

Addresses

Primary practice location

1111 SE Stephens St
Portland, OR 97214-4748

Mailing address

3828 SE 13TH Ave
Portland, OR 97202-3815
Phone (312) 550-4103

Other names 1

  • Nina Laurent Other name

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
28868ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Care Chiropractic, LLC Massage Therapist CurrentSince Jun 3, 2025 Accepting new patients

Locations

1111 SE Stephens St
Portland, OR 97214
Phone (503) 461-9664

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": "1748649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748649600000",
    "number": "1972496677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3828 SE 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023815",
            "telephone_number": "312-550-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SE STEPHENS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144748",
            "telephone_number": "971-544-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURENT",
        "first_name": "ANDRIANNA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-31",
        "last_updated": "2025-05-31",
        "certification_date": "2025-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "28868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NINA",
            "last_name": "LAURENT",
            "credential": "LMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2025; 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.