Individual provider Active NPI

Kim Hesch, LMT

  • Massage Therapist
  • Burien, WA
National Provider Identifier
1316166234
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00017323 Issued in WA
Practice address
2120 SW 152ND St
Burien, WA 98166-2027
Phone
(206) 244-7973
Fax
(206) 244-2613
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00017323 WA Primary

Addresses

Primary practice location

2120 SW 152ND St
Burien, WA 98166-2027

Mailing address

17430 Ambaum Blvd S Apt 49
Seattle, WA 98148-1780
Phone (206) 439-9556

Other identifiers 1

IdentifierTypeStateIssuer
0184808OtherWAWORKDER'S COMP

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

LicenseStateTypeSpecialty
MA00017323WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316166234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17430 AMBAUM BLVD S APT 49",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981481780",
            "telephone_number": "206-439-9556",
            "fax_number": "206-244-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 SW 152ND ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662027",
            "telephone_number": "206-244-7973",
            "fax_number": "206-244-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESCH",
        "first_name": "KIM",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00017323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKDER'S COMP",
            "identifier": "0184808",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.