Nadia N Agafonov, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

60397104 Issued in WA

Practice address

22577 116TH PL SE
Kent, WA 98031-3971

Phone

(206) 697-9139

NPI assigned

Aug 30, 2013

Last updated

Apr 1, 2015By 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 names 1

• Nadia N Savchuk Former 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": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1104250794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22577 116TH PL SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980313971",
            "telephone_number": "206-697-9139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22577 116TH PL SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980313971",
            "telephone_number": "206-697-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGAFONOV",
        "first_name": "NADIA",
        "middle_name": "N",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-30",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "60397104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NADIA",
            "last_name": "SAVCHUK",
            "middle_name": "N",
            "credential": "LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.