Kristen Medina, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

NVMT.12289 Issued in NV

Practice address

1111 S Roop St Unit 2743
Carson City, NV 89702-7210

Phone

(702) 372-8335

NPI assigned

Jan 8, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1982474292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S JONES BLVD # 2612",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072623",
            "telephone_number": "702-372-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 S ROOP ST UNIT 2743",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897027210",
            "telephone_number": "702-372-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "KRISTEN",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NV",
            "license": "NVMT.12289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mdpnv Physicians PC
• Gavin Joshua Meares, MA CLINICAL MH
• Medical Services of Nevada (Advanced Home Health Care)
• Medical Services of Nevada Inc (Advanced Home Care)
• Medical Services of Nevada Inc (Advanced Home Health Care)
• Melissa Medina
• Billy Meehan
• Lisa Shawn Meggerson
• Melhuish & Associates PC
• Melhuish & Associates PC (Sierra Foot & Ankle)

• Massage Therapist in Carson City, NV
• Providers in Carson City, NV by specialty
• Massage Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.