NPIMap

Organization Active NPI

Elle a Clinical Day Spa, Inc

Doing business as Elle A Clinical Day Spa

  • Specialist
  • Kent, WA
National Provider Identifier
1346406279
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
602843603 Issued in WA
Legal business name
ELLE A CLINICAL DAY SPA, INC
Doing business as
Elle A Clinical Day Spa
Practice address
15220 SE 272ND St Ste G
Kent, WA 98042-4241
Phone
(253) 630-6768
Fax
(253) 630-6639
NPI assigned
Jul 30, 2008
Last updated
Jul 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Leigh Anne Shaw
Title
Owner/President
Phone
(253) 630-6768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 602843603 WA Primary

Addresses

Primary practice location

15220 SE 272ND St Ste G
Kent, WA 98042-4241

Mailing address

15220 SE 272ND St Ste G
Kent, WA 98042-4241
Phone (253) 630-6768

Other names 1

  • Elle A Clinical Day Spa Doing business as

National Provider Directory

National Provider Directory

Locations

15220 SE 272nd St
Ste G
Kent, WA 98042
Phone (253) 630-6768

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1346406279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15220 SE 272ND ST STE G",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980424241",
            "telephone_number": "253-630-6768",
            "fax_number": "253-630-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15220 SE 272ND ST STE G",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980424241",
            "telephone_number": "253-630-6768",
            "fax_number": "253-630-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLE A CLINICAL DAY SPA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "253-630-6768"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "602843603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elle A Clinical Day Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.