Individual provider Active NPI

Rhonda-Marie Herrera Bermudes, LMT

  • Massage Therapist
  • Lakewood, WA
National Provider Identifier
1073030813
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
60493757 Issued in WA
Practice address
8811 S Tacoma Way Ste 104
Lakewood, WA 98499-4595
Phone
(253) 581-8444
Fax
(253) 581-2444
NPI assigned
Aug 23, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 60493757 WA Primary

Addresses

Primary practice location

8811 S Tacoma Way Ste 104
Lakewood, WA 98499-4595

Mailing address

8811 S Tacoma Way Ste 104
Lakewood, WA 98499-4595
Phone (253) 581-8444

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
60493757WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Family Chiropractic PLLC CurrentSince Jul 24, 2022 Accepting new patients
Yin and Yang Inc. PastSince Jul 24, 2022 Accepting new patients

Locations

8811 South Tacoma Way
Ste 104
Lakewood, WA 98499
Phone (253) 581-8444

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1073030813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 S TACOMA WAY STE 104",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994595",
            "telephone_number": "253-581-8444",
            "fax_number": "253-581-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 S TACOMA WAY STE 104",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994595",
            "telephone_number": "253-581-8444",
            "fax_number": "253-581-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMUDES",
        "first_name": "RHONDA-MARIE",
        "middle_name": "HERRERA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "60493757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.