Active NPI
Ting-Ting Li Kim
- Reflexologist
- Mukilteo, WA
National Provider Identifier
1033422746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reflexologist
- License
- MA60037470
- Practice address
- 5500 Harbour Pointe Blvd Apt H203
Mukilteo, WA 98275-5177 - Phone
- (206) 883-6728
- NPI assigned
- Jul 22, 2010
- 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 |
|---|---|---|---|---|
| Reflexologist | 173C00000X | MA60037470 | WA | Primary |
Addresses
Primary practice location
5500 Harbour Pointe Blvd Apt H203
Mukilteo, WA 98275-5177
Mailing address
5500 Harbour Pointe Blvd Apt H203
Mukilteo, WA 98275-5177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA60037470 | Other | WA | MASSAGE PRACTITIONER |
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 |
|---|---|---|---|
| MA60037470 | WA | MD | Reflexologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280534400000",
"number": "1033422746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 HARBOUR POINTE BLVD APT H203",
"city": "MUKILTEO",
"state": "WA",
"postal_code": "982755177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 HARBOUR POINTE BLVD APT H203",
"city": "MUKILTEO",
"state": "WA",
"postal_code": "982755177",
"telephone_number": "206-883-6728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "TING-TING",
"middle_name": "LI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-22",
"last_updated": "2010-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": "WA",
"license": "MA60037470",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE PRACTITIONER",
"identifier": "MA60037470",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mukilteo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.