Edna Fabiola Munoz Rivas

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61170676 Issued in WA

Practice address

17090 Avondale Way NE
Redmond, WA 98052-4409

Phone

(425) 780-7208

NPI assigned

Apr 19, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1275220337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 MILLS PL NE",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980459440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17090 AVONDALE WAY NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524409",
            "telephone_number": "425-780-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ RIVAS",
        "first_name": "EDNA",
        "middle_name": "FABIOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61170676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mshin Academic Foundation
• May-Chu Patricia Mu, DMD
• Kamola Muhamedova, DPT
• Sargur N Mukund, M.D.
• Kristine Mulcahey, OTA
• Jennifer Anna Munson, LMP, BS
• Jennifer Vanessa Munson, LMP
• Emily Murray
• Suzanne Murray, BCBA, LBA
• Dilbar Murtazina

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.