Individual provider Active NPI

Kisha Hanley, LMP

  • Massage Therapist
  • Kennewick, WA
National Provider Identifier
1003234733
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
60422398 Issued in WA
Practice address
5219 W Clearwater Ave Ste 1
Kennewick, WA 99336-1914
Phone
(509) 440-2808
NPI assigned
Mar 31, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 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 60422398 WA Primary

Addresses

Primary practice location

5219 W Clearwater Ave Ste 1
Kennewick, WA 99336-1914

Mailing address

1839 Peachtree LN Apt 4
Richland, WA 99352-8485
Phone (509) 440-2808

Other practice location 1

110 Columbia Point Dr
Richland, WA 99352-4387
Phone (509) 946-7692

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

State licenses

LicenseStateTypeSpecialty
60422398WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic Wellness Center LLC Massage Therapist PastSince Mar 1, 2008 Accepting new patients
Cantley Vision Inc PS Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1003234733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 PEACHTREE LN APT 4",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993528485",
            "telephone_number": "509-440-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5219 W CLEARWATER AVE STE 1",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361914",
            "telephone_number": "509-440-2808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Columbia Point Dr",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993524387",
            "country_code": "US",
            "telephone_number": "509-946-7692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANLEY",
        "first_name": "KISHA",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "60422398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.