KRISTIN CARPENTER (NPI# 1245437573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245437573 |
| Entity Type | Individual |
| Full Name | KRISTIN CARPENTER |
| Credential | LMT |
| Practice Address |
12805 Highway 55 Suite 210 Plymouth MN 55441-3859 |
| Mailing Address |
2855 Jordan Ave S Apt 411 Minnetonka MN 55305-3511 |
| Practice Telephone | 7635500892 |
| Practice Fax Number | 7635509998 |
| Mailing Telephone | 6123965295 |
| Mailing Fax Number | 7635509998 |
| Enumeration Date | 2007-06-29 |
| 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 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154722056 | Kristin Carpenter | Occupational Therapist | 244 State Highway 320, Norwich, NY 13815-3545 | 2014-09-10 |
| 1114160777 | Kristin S Carpenter | Social Worker | 12262 Queenston Blvd, Unit E, Houston, TX 77095 | 2009-04-13 |
| 1245480011 | Kristin Jayne Carpenter | Physical Therapist | 2831 Shadow Lake Rd, Lafayette, CO 80026-8970 | 2008-09-29 |
| 1033594262 | Kristin Carpenter | Counselor | 1426 Center Rd, Avon, OH 44011-1214 | 2015-07-29 |
| 1578802260 | Kristin Carpenter | Case Manager/Care Coordinator | 2413 2nd St, Eureka, CA 95501-0811 | 2013-01-31 |
| Street Address |
12805 HIGHWAY 55 SUITE 210 |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55441-3859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699708396 | Soteria Family Health Center | Clinic/Center | 12805 Highway 55, Suite 111, Plymouth, MN 55441-3859 | 2006-07-08 |
| 1093261521 | Navigating Changes LLC | Counselor | 12805 Highway 55, Suite 402, Plymouth, MN 55441-3859 | 2016-08-25 |
| 1194101212 | Autism Family Therapy Inc | Marriage & Family Therapist | 12805 Highway 55, Suite 402, Plymouth, MN 55441-3859 | 2015-07-31 |
| 1831525435 | Ann Elizabeth Huber | Advanced Practice Midwife | 12805 Highway 55, Suite 111, Plymouth, MN 55441-3859 | 2013-09-16 |
| 1366874299 | Jeff Shively, Msw, Licsw | Social Worker | 12805 Highway 55, Suite 200, Plymouth, MN 55441-3880 | 2013-08-02 |
| 1376782961 | Jeff William Shively | Social Worker | 12805 Highway 55, Suite 200, Plymouth, MN 55441-3859 | 2009-02-05 |
| 1558491852 | Sherri Ann Rauen | Massage Therapist | 12805 Highway 55, Suite 208, Plymouth, MN 55441-3859 | 2007-03-06 |
| 1497820039 | Minnesota Psychological Resources | Counselor | 12805 Highway 55, Suite 211, Plymouth, MN 55441-3859 | 2006-11-21 |
| 1659446276 | David Burdette Mellberg | Psychologist | 12805 Highway 55, Suite 211, Plymouth, MN 55441-3859 | 2006-11-21 |
| 1679647531 | Kris Chaffee-bates | Counselor | 12805 Highway 55, Suite 211, Plymouth, MN 55441-3859 | 2006-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689190019 | The Recovery Clinic LLC | Clinic/Center | 9800 Shelard Pkwy Ste 215, Plymouth, MN 55441 | 2017-08-17 |
| 1356887186 | Katherine Marlow Bell | Dentist | 2805 Campus Dr Ste 245, Plymouth, MN 55441 | 2017-01-18 |
| 1083069538 | Mercade Waldon | Home Health Aide | 3501 Xenium Lane, Plymouth, MN 55441 | 2016-05-03 |
| 1346645538 | Phs Westhealth, Inc | Skilled Nursing Facility | 2775 Campus Drive North, Plymouth, MN 55441 | 2014-10-30 |
| 1427453125 | Samuel David Fine | Pharmacist | 4070 Goldenrod Ln, Plymouth, MN 55441 | 2014-10-24 |
| 1548672538 | Scott Aaron Schmidt | Dentist | 2720 Annapolis Circle N, Suite A, Plymouth, MN 55441 | 2014-05-23 |
| 1831498633 | Comforide Transportation Services LLC | Non-emergency Medical Transport (VAN) | 9730 37th Pl N Suite 201, Plymouth, MN 55441 | 2011-03-18 |
| 1255669271 | Tammy Kae Mehlhaus | Physician Assistant | 2855 Campus Drive, Suite 570, Plymouth, MN 55441 | 2009-12-02 |
| 1164758199 | Stephen P. Boger, Dds, Pa | Dentist | 2720 Annapolis Circle, Suite A, Plymouth, MN 55441 | 2009-10-27 |
| 1093908360 | Endodontic Professionals Pa Plymouth Endodontics | Dentist | 3401 Hwy 169 N, Plymouth, MN 55441 | 2007-08-21 |
| Find all providers in zip 55441 | ||||
| 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 |
|---|---|---|---|---|
| 1871141523 | Gregory Zilberg | Massage Therapist | 14190 55th Pl N, Plymouth, MN 55446-2018 | 2019-08-27 |
| 1104308014 | Shannon Lynn Smith | Massage Therapist | 15131 Northville Rd, Plymouth, MI 48170-2548 | 2018-09-06 |
| 1346769098 | Diane Elizabeth Kuzara | Massage Therapist | 496 W. Ann Arbor Trail, Suite 104, Plymouth, MI 48170 | 2017-09-13 |
| 1285173120 | Michele Sims | Massage Therapist | 168 Court St Ste 4, Plymouth, MA 02360-4036 | 2017-02-13 |
| 1942611827 | Corrine Foster | Massage Therapist | 130 E Liberty St, Plymouth, MI 48170 | 2014-05-14 |
| 1447661624 | Nicole Eskola | Massage Therapist | 2000 Merrimac Ln N, Suite 201, Plymouth, MN 55447-4698 | 2014-05-09 |
| 1558705384 | Eve Chantelle Burnham | Massage Therapist | 5105 Norwood Ln N, Plymouth, MN 55442-2069 | 2013-04-23 |
| 1154676526 | Betty Jane Brykell | Massage Therapist | 9117 Marc Trl, Plymouth, MI 48170-3946 | 2012-07-20 |
| 1972867257 | Shelby Maclary | Massage Therapist | 7 S Park Ave, Plymouth, MA 02360-3831 | 2012-07-01 |
| 1326305780 | Nawal Therese Thompson | Massage Therapist | 2000 Merrimac Ln N Ste 201, Plymouth, MN 55447-4698 | 2012-04-23 |
| Find all providers in PLYMOUTH | ||||
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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.