Karin I Secrest, LMT #7488

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7488 Issued in OR

Practice address

656 Charnelton St
Eugene, OR 97401-2689

Phone

(541) 653-8692

NPI assigned

Oct 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Karin I Wengerowski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Anjuna Acupuncture & Integrated Medicine

  • Acupuncturist
  • Eugene, OR
  • NPI 1194102194
  NPD (past)

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1982246849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1762 W 25TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974051663",
            "telephone_number": "541-870-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 CHARNELTON ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012689",
            "telephone_number": "541-653-8692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECREST",
        "first_name": "KARIN",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "LMT #7488",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "7488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "9727373",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARIN",
            "last_name": "WENGEROWSKI",
            "middle_name": "I",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maxwell Sears, LPC
• Stephanie Miller Sears, MA
• Asia Seaton, QMHA, PSS
• Charlene Seaton, CADC-R
• Cecilia Sebastiani
• Securfirst Medical Transport, LLC
• Thomas Seddon, M.D.
• Seed to Summit Therapy LLC
• Seeds of Change Counseling Services, LLC.
• Katey Seefeld, LMT

• Massage Therapist in Eugene, OR
• Providers in Eugene, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.