Active NPI
Kelsey Knabel, MA
- Prevention Professional
National Provider Identifier
1174058622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- 225700000X
- Practice address
- 8615 S Tacoma Way
Lakewood, WA 98499
UM - Phone
- (253) 588-3355
- NPI assigned
- Apr 21, 2017
- 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 |
|---|---|---|---|---|
| Prevention Professional | 405300000X | 225700000X | WA | Primary |
Addresses
Primary practice location
8615 S Tacoma Way
Lakewood, WA 98499
UM
Mailing address
7508 14TH Loop NE
Olympia, WA 98516-5636
Phone (253) 666-3416
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225700000X | WA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olympus Spa Inc | Past | Accepting new patients | |
| Olympus Spa | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Massage Therapist
- Lakewood, WA
- NPI 1801274543
-
- Other Specialist/Technologist
- Lakewood, WA
- NPI 1912346222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492732800000",
"number": "1174058622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7508 14TH LOOP NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985165636",
"telephone_number": "253-666-3416"
},
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "LOCATION",
"address_type": "FGN",
"address_1": "8615 S TACOMA WAY",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "98499",
"telephone_number": "253-588-3355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNABEL",
"first_name": "KELSEY",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-21",
"last_updated": "2017-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "WA",
"license": "225700000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.