Individual provider Active NPI

Kathleen B Scarpello, LMP

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1104003383
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00020814 Issued in WA
Practice address
402 NE 72ND St Ste 2
Seattle, WA 98115-5456
Phone
(206) 779-0127
NPI assigned
Jan 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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 MA00020814 WA Primary

Addresses

Primary practice location

402 NE 72ND St Ste 2
Seattle, WA 98115-5456

Mailing address

6510 4TH Ave NE Apt 3
Seattle, WA 98115-6441
Phone (206) 779-0127

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
MA00020814WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1104003383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 4TH AVE NE APT 3",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981156441",
            "telephone_number": "206-779-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 NE 72ND ST STE 2",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155456",
            "telephone_number": "206-779-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARPELLO",
        "first_name": "KATHLEEN",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00020814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.