Individual provider Active NPI

Mary L Meyerquinonez, R.N., LMP

  • Nurse Massage Therapist (NMT)
  • Yakima, WA
National Provider Identifier
1154550580
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse Massage Therapist (NMT)Taxonomy code 163WM1400X
License
RN00135775 Issued in WA
Practice address
7300 Saddle Brook Dr
Yakima, WA 98908-5413
Phone
(509) 307-5362
Fax
(509) 965-9175
NPI assigned
Jul 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Massage Therapist (NMT) 163WM1400X RN00135775 WA Primary
Massage Therapist 225700000X MA60089164 WA

Addresses

Primary practice location

7300 Saddle Brook Dr
Yakima, WA 98908-5413

Mailing address

PO Box 470
Yakima, WA 98907-0470
Phone (509) 307-5362

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN00135775WAMDNurse Massage Therapist (NMT)
MA60089164WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1154550580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989070470",
            "telephone_number": "509-307-5362",
            "fax_number": "509-965-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 SADDLE BROOK DR",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989085413",
            "telephone_number": "509-307-5362",
            "fax_number": "509-965-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERQUINONEZ",
        "first_name": "MARY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "R.N., LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-07",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "WA",
            "license": "RN00135775",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60089164",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.