Individual provider Active NPI

Kara D Royall, CMT

  • Massage Therapist
  • Dutton, VA
National Provider Identifier
1972937399
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0019008228 Issued in VA
Practice address
2774 Buckley Hall Rd
Dutton, VA 23050-9762
Phone
(804) 815-2695
NPI assigned
Aug 22, 2013
Last updated
Aug 22, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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 0019008228 VA Primary

Addresses

Primary practice location

2774 Buckley Hall Rd
Dutton, VA 23050-9762

Mailing address

2774 Buckley Hall Rd
Dutton, VA 23050-9762
Phone (804) 815-2695

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
0019008228VAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1972937399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2774 BUCKLEY HALL RD",
            "city": "DUTTON",
            "state": "VA",
            "postal_code": "230509762",
            "telephone_number": "804-815-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2774 BUCKLEY HALL RD",
            "city": "DUTTON",
            "state": "VA",
            "postal_code": "230509762",
            "telephone_number": "804-815-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYALL",
        "first_name": "KARA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019008228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.