Summer J Kirby, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA6098290 Issued in WA

Practice address

5603 Summitview Ave Ste 100
Yakima, WA 98908-3018

Phone

(509) 895-7383

Fax

(509) 469-1905

NPI assigned

May 9, 2019

Last updated

Sep 27, 2021By the provider in NPPES

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

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Glisten Tanning Spa & Salon, LLC

  dba Glisten Tanning Spa & Salon

  • Massage Therapist
  • Yakima, WA
  • NPI 1356859540
  NPD (past)

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1083270532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5603 SUMMITVIEW AVE STE 100",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083018",
            "telephone_number": "509-895-7383",
            "fax_number": "509-469-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5603 SUMMITVIEW AVE STE 100",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083018",
            "telephone_number": "509-895-7383",
            "fax_number": "509-469-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "SUMMER",
        "middle_name": "J",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-09",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA6098290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "MA6098290",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roseanne Kinney, RPH
• Tammy A. Kinter, CDP
• Elizabeth Lyn Kintner
• Debra Ann Kinzler-Cavin, LMP
• Timothy Earl Kipling
• David Arthur Kirk, PA-C
• Nora Brigitta Kirschner, MD
• Tejas Kirtane, M.D.
• John M Kisala, M.D.
• Kevin Kiser

• Massage Therapist in Yakima, WA
• Providers in Yakima, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.