Kylie Van Cleve, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61090457 Issued in WA

Practice address

1320 NW Mall St Ste A2
Issaquah, WA 98027-8964

Phone

(425) 557-8787

NPI assigned

Sep 21, 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

Electronic endpoints 1

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.

• Issaquah Family Chiropractic, P.S.

  • Chiropractor
  • Sammamish, WA
  • NPI 1801096359
  NPD

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1164038519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34626 SE SWENSON DR APT D107",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980655112",
            "telephone_number": "385-414-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 NW MALL ST STE A2",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278964",
            "telephone_number": "425-557-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN CLEVE",
        "first_name": "KYLIE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61090457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Issaquah",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1320 NW Mall St Ste A2",
            "city": "Issaquah",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980278964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Igor Uritskiy, MD
• Matthew Usher
• Brooke Ushka, MA, LMFTA
• Subashinee Vaidyanathan, D.D.S
• Nilsha Elency Valle-Ortega, AU.D.
• Eva C Van Der Hoeven, DDS
• Jennifer Van Dyke, PHARMD
• Cathy L Van Lith, MPT, OCS
• Madhuri Vanama, DDS
• Gloriana Pearl Vancleave

• Massage Therapist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.