Active NPI
Karina Stesy Ibarra
- Massage Therapist
- Bellevue, WA
National Provider Identifier
1265940134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60723524
- Practice address
- 10575 NE 12TH St Ste 17
Bellevue, WA 98004-4362 - Phone
- (425) 292-7888
- NPI assigned
- Jan 12, 2018
- Last updated
- Jan 12, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60723524 | WA | Primary |
Addresses
Primary practice location
10575 NE 12TH St Ste 17
Bellevue, WA 98004-4362
Mailing address
20914 110TH Ave SE Apt 2225
Kent, WA 98031-1375
Phone (206) 697-9285
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA60723524 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cascades Theraputic Massage LLC | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515715200000",
"number": "1265940134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20914 110TH AVE SE APT 2225",
"city": "KENT",
"state": "WA",
"postal_code": "980311375",
"telephone_number": "206-697-9285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10575 NE 12TH ST STE 17",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980044362",
"telephone_number": "425-292-7888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBARRA",
"first_name": "KARINA",
"middle_name": "STESY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-12",
"last_updated": "2018-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60723524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.