Active NPI
Natalya Sedova
- Massage Therapist
- Vancouver, WA
National Provider Identifier
1104373687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60691255
- Practice address
- 7700 NE Greenwood Dr
Suite 120
Vancouver, WA 98662-6798 - Phone
- (360) 573-1933
- NPI assigned
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60691255 | WA | Primary |
Addresses
Primary practice location
7700 NE Greenwood Dr
Suite 120
Vancouver, WA 98662-6798
Mailing address
7700 NE Greenwood Drive
Suite 120
Vancouver, WA 98662
Phone (360) 573-1933
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA60691255 | Other | WA | LMT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA60691255 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1104373687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7700 NE GREENWOOD DRIVE",
"address_2": "SUITE 120",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98662",
"telephone_number": "360-573-1933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 NE GREENWOOD DR",
"address_2": "SUITE 120",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986626798",
"telephone_number": "360-573-1933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEDOVA",
"first_name": "NATALYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60691255",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMT",
"identifier": "MA60691255",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.