KELLY MARIE CARPENTER (NPI# 1437641834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437641834 |
| Entity Type | Individual |
| Full Name | KELLY MARIE CARPENTER |
| Credential | CMT |
| Practice Address |
2075 Lincoln Ave San Jose CA 95125-3513 |
| Mailing Address |
Po Box 8036 San Jose CA 95155-8036 |
| Practice Telephone | 6692357754 |
| Mailing Telephone | 6692357754 |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 75185 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679944854 | Kelly Carpenter | Counselor | 1209 Montague St, Norfolk, VA 23518-2815 | 2015-10-13 |
| 1538467584 | Kelly Ann Carpenter | Licensed Practical Nurse | 870 Burritt Rd, Hilton, NY 14468-1126 | 2011-02-28 |
| 1700183894 | Kelly A Carpenter | Mechanotherapist | 1857 White Mountain Hwy, North Conway, NH 03860-5158 | 2011-02-25 |
| 1003915638 | Kelly Jo Carpenter | Licensed Practical Nurse | Commerce Lane, Canton, NY 13617 | 2006-09-21 |
| 1821599077 | Kelly Carpenter | Counselor | 1800 Mercy Dr, Orlando, FL 32808-5646 | 2018-02-23 |
| 1407102585 | Kelly Carpenter | Physical Therapy Assistant | 2002 W Sunset Dr, Suite 1, Riverton, WY 82501-2283 | 2012-07-26 |
| 1205132495 | Kelly Lyn Carpenter | Speech-Language Pathologist | 39 Linden Ave, Cooperstown, NY 13326-1410 | 2011-02-04 |
| 1174762884 | Kelly Amanda Carpenter | Counselor | 9700 Grandview Rd, Kansas City, MO 64137-1135 | 2009-02-19 |
| 1144478918 | Kelly M Carpenter | Psychologist | 10740 Meridian Ave N, Suite 110, Seattle, WA 98133-9010 | 2008-09-04 |
| 1124238530 | Kelly L. Carpenter | Social Worker | 1212 Spruce St, Suite 315, Belmont, NC 28012-3385 | 2007-05-23 |
| Street Address |
2075 LINCOLN AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95125-3513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679837843 | Robynne Michelle Bump | Behavioral Analyst | 2075 Lincoln Ave, D, San Jose, CA 95125-3513 | 2012-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245431 | Carmen J. Frank | Marriage & Family Therapist | 913 Willow St., Suite 103, San Jose, CA 95125 | 2020-08-12 |
| 1376197848 | Mariam Samir Abadir | Dentist | 1670 Westwood Dr. Suite K, San Jose, CA 95125 | 2019-08-01 |
| 1750870747 | Gertrud Stojancic | Massage Therapist | 3315 Almaden Expressway, # 27/29, San Jose, CA 95125 | 2018-05-04 |
| 1659809259 | Edward Escoto | Assistant Behavior Analyst | 2075 Lincoln Ave Ste D, San Jose, CA 95125 | 2017-05-25 |
| 1104288422 | Kristin Ann Dessau | Counselor | 1261 Lincoln Avenue, Suite 202, San Jose, CA 95125 | 2016-03-25 |
| 1275964488 | Indian Health Center of Santa Clara Valley | Clinic/Center | 1685 Westwood Dr Ste 1, San Jose, CA 95125 | 2013-12-13 |
| 1598042905 | Walgreens | Exclusive Provider Organization | 2585 Almaden Road, San Jose, CA 95125 | 2011-11-14 |
| 1881981488 | Kevin Jia-chian Yen | Dentist | 1660 Willow St Ste 5, San Jose, CA 95125 | 2011-07-02 |
| 1699093724 | Lokahi Acupuncture, Inc. | Acupuncturist | 1688 Willow Street, Suite B, San Jose, CA 95125 | 2010-05-13 |
| 1538482468 | Mark Lucius Yoslow | Psychologist | 970 Minnesota Avenue, San Jose, CA 95125 | 2010-03-06 |
| Find all providers in zip 95125 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181521 | Ebonique Zanale Wilson | Massage Therapist | 380 Vista Roma Way Unit 316, San Jose, CA 95136-4421 | 2020-10-14 |
| 1225635162 | Veronica Isabel Foggie | Massage Therapist | 3570 Ct, San Jose, CA 95127 | 2020-10-05 |
| 1659988897 | Francis Beaudry | Massage Therapist | 1374 Piland Dr, San Jose, CA 95130-1339 | 2020-09-30 |
| 1972118586 | Niane Oliveira Ribeiro De Sa | Massage Therapist | 1174 Lincoln Ave Ste 5, San Jose, CA 95125-3029 | 2020-09-10 |
| 1164061412 | Castrell Neuromuscular Therapy | Massage Therapist | 3880 S Bascom Ave Ste 108, San Jose, CA 95124-2600 | 2020-01-04 |
| 1285192468 | Mae Rose Corley | Massage Therapist | 841 Blossom Hill Rd Ste 108, San Jose, CA 95123-2704 | 2019-03-07 |
| 1750870747 | Gertrud Stojancic | Massage Therapist | 3315 Almaden Expressway, # 27/29, San Jose, CA 95125 | 2018-05-04 |
| 1457889958 | Chris Shelton | Massage Therapist | 1314 Lincoln Ave Ste 2b, San Jose, CA 95125-3012 | 2017-05-27 |
| 1477098572 | Richard C Rhodes | Massage Therapist | 2618 Hill Park Dr, San Jose, CA 95124-1734 | 2016-12-27 |
| 1114398658 | Myung Sook Lee | Massage Therapist | 765 Modern Ice Dr, San Jose, CA 95112-4857 | 2015-10-09 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.