Susana E Anaya, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00023755 Issued in WA

Practice address

557 Goerig St
Woodland, WA 98674-9442

Phone

(360) 721-0501

NPI assigned

Aug 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Susana Moncada Erickson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1083807754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 591",
            "city": "WOODLAND",
            "state": "WA",
            "postal_code": "986740600",
            "telephone_number": "360-721-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 GOERIG ST",
            "city": "WOODLAND",
            "state": "WA",
            "postal_code": "986749442",
            "telephone_number": "360-721-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANAYA",
        "first_name": "SUSANA",
        "middle_name": "E",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-24",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00023755",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "000023755",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERPY",
            "identifier": "MA00023755",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSANA",
            "last_name": "ERICKSON",
            "middle_name": "MONCADA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.