Active NPI
Danna Stasha McKimmy, LMT
- Massage Therapist
- Selah, WA
National Provider Identifier
1063995074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60730557
- Practice address
- 107 W Naches Ave
Selah, WA 98942-1323 - Phone
- (509) 698-2644
- NPI assigned
- Sep 14, 2018
- Last updated
- Sep 14, 2018
- 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 | MA60730557 | WA | Primary |
Addresses
Primary practice location
107 W Naches Ave
Selah, WA 98942-1323
Mailing address
850 Brathovde Rd
Selah, WA 98942-9578
Phone (509) 945-2508
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 |
|---|---|---|---|
| MA60730557 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1063995074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 BRATHOVDE RD",
"city": "SELAH",
"state": "WA",
"postal_code": "989429578",
"telephone_number": "509-945-2508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 W NACHES AVE",
"city": "SELAH",
"state": "WA",
"postal_code": "989421323",
"telephone_number": "509-698-2644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKIMMY",
"first_name": "DANNA",
"middle_name": "STASHA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-14",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60730557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Selah, WA
- Yasmin Lopez, RN
- Katy Ann Mattern, LABA
- Shawn McCarthy
- Rebekah McCullough
- Michael McKay, DDS
- Erica McKissack, RN
- Medical Associates of Yakima, LLC (Selah Family Medicine Clinic INC., PS)
- Medical Associates of Yakima, LLC (Paul E Emmans, JR., DO)
- Memorial Physicians, P.L.L.C. (Selah Family Medicine)
- Memorial Practice Management, LLC (Selah Family Medicine)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.