Individual provider Active NPI

Juliane Carrillo, C.M.T.

  • Massage Therapist
  • Redding, CA
National Provider Identifier
1982265799
Registry record updated Jun 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
71751 Issued in CA
Practice address
3609 Bechelli LN Ste E
Redding, CA 96002-2453
Phone
(510) 676-0839
NPI assigned
Jun 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2019

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 71751 CA Primary

Addresses

Primary practice location

3609 Bechelli LN Ste E
Redding, CA 96002-2453

Mailing address

1979 Bechelli LN
Redding, CA 96002-0133
Phone (510) 676-0839

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Carrilloj@nhi.edu

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
71751CAMDSocial Worker

Interoperability endpoints

  • Direct secure messaging: carrilloj@nhi.edu

NPI Registry JSON

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

{
    "created_epoch": "1561248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561248000000",
    "number": "1982265799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1979 BECHELLI LN",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020133",
            "telephone_number": "510-676-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 BECHELLI LN STE E",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960022453",
            "telephone_number": "510-676-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "JULIANE",
        "credential": "C.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-23",
        "last_updated": "2019-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "71751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Carrilloj@nhi.edu",
            "affiliation": "N",
            "address_1": "3609 Bechelli Ln Ste E",
            "city": "Redding",
            "state": "CA",
            "country_code": "US",
            "postal_code": "960022453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.