Artemis Mandala

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

2815 Howard Rd
Langley, WA 98260-8530

Phone

(425) 280-8433

NPI assigned

Sep 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1124634845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3271A COYOTE TRAIL WAY",
            "city": "CLINTON",
            "state": "WA",
            "postal_code": "982368517",
            "telephone_number": "425-280-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 HOWARD RD",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "982608530",
            "telephone_number": "425-280-8433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2002 156th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980073827",
            "country_code": "US",
            "telephone_number": "800-682-6934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDALA",
        "first_name": "ARTEMIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Lubic, LMT
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• Mary Jane Lungren, DDS
• Kathryn Suzanne Macgregor, OTR/L
• Sarah Bradfield Manchester, MA, LMHC, MHP
• Laura Payne Martinez, LCSW
• Patricia Irene Zibung Matthews, DR
• Jessca McCord, L.AC.
• Kristine McInvaille, COTA/L
• Tessa May McLachlan, L.M.P.

• All providers in Langley, WA
• Student in an Organized Health Care Education/Training Program in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.