Active NPI
Nataliya I Kerpan
- Massage Therapist
- Everett, WA
National Provider Identifier
1306356977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 60769929
- Practice address
- 2803 Grand Ave
Everett, WA 98201-3417 - Phone
- (425) 512-9240
- Fax
- (425) 512-9240
- NPI assigned
- Oct 9, 2017
- 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 | 60769929 | WA | Primary |
Addresses
Primary practice location
2803 Grand Ave
Everett, WA 98201-3417
Mailing address
2321 114TH St SW
Everett, WA 98204-4787
Phone (425) 343-8316
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 |
|---|---|---|---|
| 60769929 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merciful Hands, L.L.C. | 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 and National Provider Directory roles.
-
- Massage Therapist
- Mukilteo, WA
- NPI 1609429711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507507200000",
"number": "1306356977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2321 114TH ST SW",
"city": "EVERETT",
"state": "WA",
"postal_code": "982044787",
"telephone_number": "425-343-8316",
"fax_number": "425-512-9240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2803 GRAND AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982013417",
"telephone_number": "425-512-9240",
"fax_number": "425-512-9240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERPAN",
"first_name": "NATALIYA",
"middle_name": "I",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-09",
"last_updated": "2017-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "60769929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.