Yvette Ginell Spears, CMT, CLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0019001314 Issued in VA

Practice address

3543 W Braddock Rd Ste 200
Alexandria, VA 22302-1900

Phone

(703) 578-1900

NPI assigned

Nov 20, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• King Street Back & Neck Care

  • Chiropractor
  • Alexandria, VA
  • NPI 1316192529
  NPD

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1114520053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "YVETTE SPEARS",
            "address_2": "6904 ROBINIA RD",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "20748",
            "telephone_number": "202-210-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3543 W BRADDOCK RD STE 200",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021900",
            "telephone_number": "703-578-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Yvette Spears",
            "address_2": "6904 Robinia Rd",
            "address_purpose": "LOCATION",
            "city": "Camp Springs",
            "state": "MD",
            "postal_code": "20748",
            "country_code": "US",
            "telephone_number": "202-210-5277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPEARS",
        "first_name": "YVETTE",
        "middle_name": "GINELL",
        "credential": "CMT, CLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247000000X",
            "taxonomy_group": "",
            "desc": "Technician, Health Information",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019001314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA BOARD OF NURSING",
            "identifier": "0019001314",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INT'L COACH FEDERATION - WELLNESS COACH",
            "identifier": "009583436I",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN MASSAGE THERAPIST ASSOCIATION",
            "identifier": "79243",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Massage Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.