Individual provider Active NPI

Nicole Alders, LMT

  • Massage Therapist
  • Keizer, OR
National Provider Identifier
1982380655
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
17905 Issued in OR
Practice address
156 Chemawa Rd N
Keizer, OR 97303-5356
Phone
(503) 999-5960
NPI assigned
Jun 26, 2023
Last updated
Jun 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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 17905 OR Primary

Addresses

Primary practice location

156 Chemawa Rd N
Keizer, OR 97303-5356

Mailing address

156 Chemawa Rd N
Keizer, OR 97303-5356
Phone (503) 999-5960

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
17905ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Namaste Massage and Spa CurrentSince Jul 2, 2023 Accepting new patients

Locations

156 Chemawa Rd N
Keizer, OR 97303
Phone (503) 999-5960

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1982380655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 CHEMAWA RD N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973035356",
            "telephone_number": "503-999-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 CHEMAWA RD N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973035356",
            "telephone_number": "503-999-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDERS",
        "first_name": "NICOLE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "17905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keizer, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.

Verify at the official NPI Registry.