Individual provider Active NPI

Susan Elaine Rhode, L.M.P.

  • Massage Therapist
  • Kennewick, WA
National Provider Identifier
1194002436
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 00021764 Issued in WA
Practice address
8503 W Clearwater Ave Ste C
Kennewick, WA 99336-3100
Phone
(509) 727-7990
NPI assigned
Nov 15, 2011
Last updated
Jul 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00021764 WA
Massage Therapist 225700000X MA 00021764 WA Primary

Addresses

Primary practice location

8503 W Clearwater Ave Ste C
Kennewick, WA 99336-3100

Mailing address

8503 W Clearwater Ave Ste C
Kennewick, WA 99336-3100
Phone (509) 727-7990

Other practice location 1

460A Williams Blvd
Richland, WA 99354-3265
Phone (509) 946-4422

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Kennewick Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
MA 00021764WAMDMassage Therapist
MA00021764WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1194002436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8503 W CLEARWATER AVE STE C",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363100",
            "telephone_number": "509-727-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8503 W CLEARWATER AVE STE C",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363100",
            "telephone_number": "509-727-7990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460A Williams Blvd",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993543265",
            "country_code": "US",
            "telephone_number": "509-946-4422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHODE",
        "first_name": "SUSAN",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "L.M.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-15",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00021764",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 00021764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Kennewick",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "8503 W Clearwater Ave Ste C",
            "city": "Kennewick",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993363100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.