Individual provider Active NPI

Kevin M West, L.M.P

  • Massage Therapist
  • Everett, WA
National Provider Identifier
1386985455
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60220166 Issued in WA
Practice address
1723 100TH PL SE Ste B
Everett, WA 98208-3800
Phone
(425) 252-9132
NPI assigned
Mar 13, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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 MA60220166 WA Primary

Addresses

Primary practice location

1723 100TH PL SE Ste B
Everett, WA 98208-3800

Mailing address

1723 100TH PL SE Ste B
Everett, WA 98208-3800
Phone (425) 252-9132

Other practice location 1

1505 Broadway
Everett, WA 98201-1721
Phone (425) 252-9132

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
MA60220166WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Everett Therapeutic Center, LLC Massage Therapist 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": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1386985455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 100TH PL SE STE B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083800",
            "telephone_number": "425-252-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 100TH PL SE STE B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083800",
            "telephone_number": "425-252-9132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 Broadway",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982011721",
            "country_code": "US",
            "telephone_number": "425-252-9132",
            "fax_number": "425-252-9714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "KEVIN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "L.M.P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-13",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60220166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; 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.