Individual provider Active NPI

Kristin Kay Jerger, MD, LMBT

  • Massage Therapist
  • Cary, NC
National Provider Identifier
1992314900
Registry record updated Jul 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
11719 Issued in NC
Practice address
138 Trafalgar LN
Cary, NC 27513-5179
Phone
(919) 830-1740
NPI assigned
Jul 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2020

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 11719 NC Primary

Addresses

Primary practice location

138 Trafalgar LN
Cary, NC 27513-5179

Mailing address

138 Trafalgar LN
Cary, NC 27513-5179
Phone (919) 830-1740

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11719NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1595721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595721600000",
    "number": "1992314900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 TRAFALGAR LN",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275135179",
            "telephone_number": "919-830-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 TRAFALGAR LN",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275135179",
            "telephone_number": "919-830-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERGER",
        "first_name": "KRISTIN",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "MD, LMBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-26",
        "last_updated": "2020-07-26",
        "certification_date": "2020-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "11719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2020; 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.