Active NPI
Mica Lakip
- Massage Therapist
- Seattle, WA
National Provider Identifier
1013313808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60471664
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA60471664 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Chiropractor
- Seattle, WA
- NPI 1881952885
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.