MS. KRISTI ABIGAIL CARSON (NPI# 1104049386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104049386 |
| Entity Type | Individual |
| Full Name | MS. KRISTI ABIGAIL CARSON |
| Credential | C.M.T. |
| Practice Address |
2020 Coffee Rd Ste. D-3 Modesto CA 95355-2427 |
| Practice Telephone | 2095259133 |
| Practice Fax Number | 2095231495 |
| Mailing Telephone | 2095259133 |
| Mailing Fax Number | 2095231495 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | BG02263 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285973446 | Kristi Carson | Massage Therapist | 7831 Se Stark St, #207, Portland, OR 97215-2357 | 2013-02-07 |
| Street Address |
2020 COFFEE RD STE. D-3 |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-2427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033107438 | Kathleen S. Rawe | Pharmacy | 2020 Coffee Rd, Suite C2, Modesto, CA 95355-2427 | 2005-10-10 |
| 1063772846 | Charles Wickersham | Pharmacist | 2020 Coffee Rd, Suite C2, Modesto, CA 95355-2427 | 2012-05-25 |
| 1326326281 | Raymond Nepomuceno | Dentist | 2020 Coffee Rd, Suite B-4, Modesto, CA 95355-2427 | 2011-07-26 |
| 1275786733 | Kim Tran Vu | Dentist | 2020 Coffee Rd, Ste. G-2, Modesto, CA 95355-2427 | 2008-10-28 |
| 1770772287 | Daniel T. Vu | Dentist | 2020 Coffee Rd, Ste. G-2, Modesto, CA 95355-2427 | 2007-10-20 |
| 1023217999 | Lavedita Levette Parker | Dentist | 2020 Coffee Rd, Suite E, Modesto, CA 95355-2427 | 2007-07-12 |
| 1851502793 | Yvonne Marie Mcloughlin | Marriage & Family Therapist | 2020 Coffee Rd, Suite H-4, Modesto, CA 95355-2427 | 2007-05-24 |
| 1194943035 | Trinh Mai Ngoc Vo | Dentist | 2020 Coffee Rd, A-4, Modesto, CA 95355-2427 | 2007-04-24 |
| 1164544698 | Jerold Rosenthal | Marriage & Family Therapist | 2020 Coffee Rd, H-6, Modesto, CA 95355-2427 | 2007-04-04 |
| 1568595965 | Richard Scott Williams | Marriage & Family Therapist | 2020 Coffee Rd, H-4, Modesto, CA 95355-2427 | 2007-03-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
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| 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 |
|---|---|---|---|---|
| 1609498930 | Tina M Aguilar | Massage Therapist | 1231 8th St Ste 420, Modesto, CA 95354-2226 | 2020-05-08 |
| 1831603109 | Lang Woo | Massage Therapist | 1315 W Roseburg Ave Ste 5, Modesto, CA 95350-4869 | 2017-11-25 |
| 1295083814 | Bill Dean Ennis | Massage Therapist | 3116 Otis Av, Modesto, CA 95350 | 2012-08-29 |
| 1336414945 | Karen Gates | Massage Therapist | 1012 Claremont Ct, Modesto, CA 95356-2004 | 2012-03-14 |
| 1033482609 | Cyndel Corgiat | Massage Therapist | 817 Coffee Rd Ste D, Modesto, CA 95355-4241 | 2012-02-13 |
| 1255638946 | Edith Carolina Torres-lopez | Massage Therapist | 1029 Mchenry Ave, Modesto, CA 95350-5436 | 2011-02-16 |
| 1457510133 | Lynn D. Leyda | Massage Therapist | 225 E Granger Ave, Suite 2, Modesto, CA 95350-4346 | 2008-06-06 |
| 1174911598 | Brittney Ann Velasco | Massage Therapist | 817 Coffee Rd, Suite D, Modesto, CA 95355-4241 | 2015-01-07 |
| 1881098614 | Kristy Rene Isaak | Massage Therapist | 817 Coffee Rd, Modesto, CA 95355-4241 | 2014-10-22 |
| 1699177253 | Cynthia Marlene Navarrette | Massage Therapist | 817 Coffee Rd Ste D, Modesto, CA 95355-4241 | 2014-09-25 |
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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.