Wena Lynn Dove, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA 60315398 Issued in WA

Practice address

319 S 11TH Ave
Yakima, WA 98902-3213

Phone

(509) 453-1420

Fax

(509) 453-1453

NPI assigned

Jul 22, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Anew You Massage Therapy PLLC

  • Massage Therapist
  • Yakima, WA
  • NPI 1093141848
  NPD (past) Authorized official
• DCS Therapeutic Massage

  • Massage Therapist
  • Yakima, WA
  • NPI 1912451071
  NPD (past)

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1225446255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 S 11TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S 11TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023213",
            "telephone_number": "509-453-1420",
            "fax_number": "509-453-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOVE",
        "first_name": "WENA",
        "middle_name": "LYNN",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA 60315398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MA 60315398",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chad Richard Douglas, D.O.
• David L Douglas
• Jonathan Douglas
• Lindsey R Douglas III, DMD
• Tyler Shane Douglas, CP61119971
• Lucy Johanna Dow, MSN, RN, APRN, FNP-C
• Dr Mileski DDS II PLLC
• Dr. Lawrence Cacchiotti
• Dr. Mike L. Clark Family Dentistry
• Dragonfly Medical Massage Studio LLC

• Specialist in Yakima, WA
• Providers in Yakima, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.