Ciara Wilson, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA 60428062 Issued in WA

Practice address

2200 S Maiers Rd
Suite B
Moses Lake, WA 98837-8818

Phone

(509) 764-8626

Fax

(509) 764-8628

NPI assigned

Oct 23, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Basin Family Chiropractic P S

  • Chiropractor
  • Moses Lake, WA
  • NPI 1508999012
  NPD (past)

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1043682594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 S MAIERS RD",
            "address_2": "SUITE B",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988378818",
            "telephone_number": "509-764-8626",
            "fax_number": "509-764-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 S MAIERS RD",
            "address_2": "SUITE B",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988378818",
            "telephone_number": "509-764-8626",
            "fax_number": "509-764-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CIARA",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-23",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60428062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christie Williams, BA
• Kayleeanna Williams
• Ryan D Williams, PA-C
• Tanyr Lyn Williams
• Debra A Willis, DMD
• Luz Menendez Wilson, RN
• Rebeca Wilson
• Rebecca L.S. Winn, NLMP
• Gus Winter, MED
• Garrett Clay Wistisen, FNP

• Massage Therapist in Moses Lake, WA
• Providers in Moses Lake, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.