Active NPI
Kailey Ann Carlton, LMT
- Massage Therapist
- Arlington, WA
National Provider Identifier
1164015129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 17430 79TH Dr NE
Arlington, WA 98223-9826 - Phone
- (425) 343-9686
- NPI assigned
- Feb 19, 2021
- 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 | WA | Primary |
Addresses
Primary practice location
17430 79TH Dr NE
Arlington, WA 98223-9826
Mailing address
17430 79TH Dr NE
Arlington, WA 98223-9826
Phone (425) 343-9686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA61167848 | Other | WA | MASSAGE LICENSE NUMBER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628812800000",
"number": "1164015129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17430 79TH DR NE",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982239826",
"telephone_number": "425-343-9686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17430 79TH DR NE",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982239826",
"telephone_number": "425-343-9686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLTON",
"first_name": "KAILEY",
"middle_name": "ANN",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-19",
"last_updated": "2021-08-13",
"certification_date": "2021-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE LICENSE NUMBER",
"identifier": "MA61167848",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arlington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.