Kiersten R Buchonis, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00021532 Issued in WA

Practice address

10618 SE Kent Kangley Rd
Suite 104
Kent, WA 98030-9048

Phone

(253) 859-5433

Fax

(253) 859-4887

NPI assigned

Nov 22, 2006

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

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.

• Babich Corporation

  • Chiropractor
  • Kent, WA
  • NPI 1265612659
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254960000000",
    "number": "1245305101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10618 SE KENT KANGLEY RD",
            "address_2": "SUITE 104",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980309048",
            "telephone_number": "253-859-5433",
            "fax_number": "253-859-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10618 SE KENT KANGLEY RD",
            "address_2": "SUITE 104",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980309048",
            "telephone_number": "253-859-5433",
            "fax_number": "253-859-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHONIS",
        "first_name": "KIERSTEN",
        "middle_name": "R",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2009-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00021532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "0213358",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Elise Bryan
• Cecil Bryan
• Jennifer Mary Bryan, ARNP, FNP-C
• Briana Bryant
• Rhea Claire Campos Bucasas, D.C.
• Leslie M'Liss Buckles, OT
• Salma Budul
• Frances Bueno, SLP
• April Bui
• Gia Khanh Bui

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; 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.