Individual provider Active NPI

Mica Lakip

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1013313808
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60471664 Issued in WA
Practice address
701 5TH Ave
Ste 212
Seattle, WA 98104-7097
Phone
(206) 464-4250
Fax
(206) 829-2051
NPI assigned
Nov 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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 MA60471664 WA Primary

Addresses

Primary practice location

701 5TH Ave
Ste 212
Seattle, WA 98104-7097

Mailing address

805 Cherry St
Seattle, WA 98104-1928
Phone (206) 407-4391

Other names 1

  • Mica Dewitt Former name

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
MA60471664WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Chiropractic Center of Seattle 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.

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1013313808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 CHERRY ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041928",
            "telephone_number": "206-407-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 5TH AVE",
            "address_2": "STE 212",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981047097",
            "telephone_number": "206-464-4250",
            "fax_number": "206-829-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKIP",
        "first_name": "MICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60471664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICA",
            "last_name": "DEWITT",
            "credential": "LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.