Charyle Rae Tasanasanta, L.M.P. /MASSAGE THER

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA0018391 Issued in WA

Practice address

17311 NE 175TH Ave, Building C, Suite 100
Woodinville, WA 98072

Phone

(425) 330-3097

NPI assigned

Jan 7, 2019

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

Other names 1

• Cheryl Camille Strecker Former name

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": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1326511973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17311 NE 175TH AVE, BUILDING C, SUITE 100",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "98072",
            "telephone_number": "425-330-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17311 NE 175TH AVE, BUILDING C, SUITE 100",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "98072",
            "telephone_number": "425-330-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASANASANTA",
        "first_name": "CHARYLE",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "L.M.P. /MASSAGE THER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA0018391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "STRECKER",
            "middle_name": "CAMILLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marci Sweet, LICSW, MSW
• Teresa Ann Talley, MA, LMHC
• Ka Weng Tam, L.AC.
• Steven Matthew Ming-Hao Tan, OD
• Simon T Tang, PHARM D
• Shielisse Te, RN
• Tessa Love LCSW, PLLC
• The Camelot Society (Camelot Society)
• The Natural Path to Healing
• The Natural Path to Healing PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.