Active NPI
Marianne Yancha Valmonte
- Massage Therapist
- Renton, WA
National Provider Identifier
1376064949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60776794
- Practice address
- 15 S Grady Way Ste LL25
Renton, WA 98057-3218 - Phone
- (425) 228-5217
- NPI assigned
- Jul 4, 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 | MA60776794 | WA | Primary |
Addresses
Primary practice location
15 S Grady Way Ste LL25
Renton, WA 98057-3218
Mailing address
15 S Grady Way Ste LL25
Renton, WA 98057-3218
Phone (425) 228-5217
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA60776794 | Other | WA | DEPT OF HEALTH |
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 |
|---|---|---|---|
| MA60776794 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Century Massage & Bodywork, Inc | Single Specialty | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1376064949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 S GRADY WAY STE LL25",
"city": "RENTON",
"state": "WA",
"postal_code": "980573218",
"telephone_number": "425-228-5217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 S GRADY WAY STE LL25",
"city": "RENTON",
"state": "WA",
"postal_code": "980573218",
"telephone_number": "425-228-5217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALMONTE",
"first_name": "MARIANNE",
"middle_name": "YANCHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-04",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60776794",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF HEALTH",
"identifier": "MA60776794",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.