Active NPI
Karen Jill Ryan, LMT LICENSED MASSAGE
- Massage Therapist
- Deer Meadows, WA
National Provider Identifier
1003582396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 42031 Lakeview Dr. N
Deer Meadows, WA 99122 - Phone
- (509) 439-3050
- NPI assigned
- Aug 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA61179279 | WA | |
| Massage Therapist | 225700000X | WA | Primary |
Addresses
Primary practice location
42031 Lakeview Dr. N
Deer Meadows, WA 99122
Mailing address
P.O Box 366
Davenport, WA 99122
Phone (509) 439-3050
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fodor Chiropractic P.S. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Sunnyside, WA
- NPI 1124270822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1003582396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O BOX 366",
"city": "DAVENPORT",
"state": "WA",
"postal_code": "99122",
"telephone_number": "509-439-3050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42031 LAKEVIEW DR. N",
"city": "DEER MEADOWS",
"state": "WA",
"postal_code": "99122",
"telephone_number": "509-439-3050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "KAREN",
"middle_name": "JILL",
"credential": "LMT LICENSED MASSAGE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-18",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA61179279",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.