CARLEE NICOLE DEMORE — NPI 1003414269 (Licensed & Credentialed Massage Therapist in SUNRIVER, OR)

CMS-1500 Box 24J / 33a • NPI

1003414269

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

225700000X

Licensed & Credentialed Massage Therapist

Box 32 Service Location & ZIP+4

56880 VENTURE LN # 215S, SUNRIVER, OR, 97707-2158

✓ 9-Digit EDI 837 ZIP+4 (97707-2158)

Practice Phone & Referral Fax

(541) 420-0644

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1003414269 (CARLEE NICOLE DEMORE) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1003414269` (NPI-1 Individual Practitioner)
Provider / Legal Name	CARLEE NICOLE DEMORE
Plain-English Specialty	Licensed & Credentialed Massage Therapist NUCC Code: `225700000X` (Massage Therapist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	56880 VENTURE LN # 215S, SUNRIVER, OR, 97707-2158
Practice Telephone / Fax	Tel: (541) 420-0644
Administrative Mailing Address	56880 VENTURE LN # 215S, SUNRIVER, OR, 97707-2158
Enumeration & Last Sync	Enumerated: 2020-10-10 \| CMS Record Updated: 2020-10-10

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

56880 VENTURE LN # 215S, SUNRIVER, OR, 97707-2158

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Plain-English Taxonomy & CMS Crosswalk (225700000X)

What Does Taxonomy Code 225700000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225700000X translates to:
"Licensed & Credentialed Massage Therapist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Massage Therapist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CARLEE NICOLE DEMORE)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`225700000X` — Massage Therapist Plain English: Licensed & Credentialed Massage Therapist	State: OR \| License: `25954` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CARLEE NICOLE DEMORE (NPI #1003414269)