Diane Colleen Affholter, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00021310 Issued in WA

Practice address

1120 S 4TH St
Sunnyside, WA 98944

Phone

(509) 837-2600

Fax

(509) 837-2291

NPI assigned

Mar 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Diane Lusk Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Yakima Valley Chiropractic Center PS

  • Chiropractor
  • Sunnyside, WA
  • NPI 1942294871
  NPD (past)

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366419749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 BLAINE RD",
            "city": "ZILLAH",
            "state": "WA",
            "postal_code": "98953",
            "telephone_number": "509-781-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S 4TH ST",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "98944",
            "telephone_number": "509-837-2600",
            "fax_number": "509-837-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFFHOLTER",
        "first_name": "DIANE",
        "middle_name": "COLLEEN",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00021310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LTD",
            "identifier": "0201176",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "LUSK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amma Serwaa Ababio
• Suleyma Elizabeth Abrams, SUDPT
• Achebe MD PS
• Amier Ahmad, MD
• John W Allen, D.O.
• Elizabeth Ambrocio
• Esmeralda Chavez Anderson, ARNP
• Jory Lynn Anderson, D.C.

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

• 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.