NPIMap

Organization Active NPI

Mind Body Spirit Massage, Ellie Esteves LMP LLC

  • Massage Therapist
  • Tacoma, WA
National Provider Identifier
1396454336
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MIND BODY SPIRIT MASSAGE, ELLIE ESTEVES LMP LLC
Doing business as
Mind Body Spirit Massage, Ellie Esteves LMP LLC
Practice address
4308 N 26TH St
Tacoma, WA 98407-5211
Phone
(253) 431-4437
Fax
(253) 262-0591
NPI assigned
Nov 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Authorized official

Name
Eliannette Enid EstevesNPI 1689106072
Title
Owner/Provider
Phone
(253) 431-4437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

4308 N 26TH St
Tacoma, WA 98407-5211

Mailing address

6019 Alameda Ave W
University Place, WA 98467-2818
Phone (253) 431-4437

Other practice location 1

6019 Alameda Ave W
University Place, WA 98467-2818
Phone (253) 431-4437

Other names 1

  • Mind Body Spirit Massage, Ellie Esteves LMP LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL massage Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1396454336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6019 ALAMEDA AVE W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984672818",
            "telephone_number": "253-431-4437",
            "fax_number": "253-262-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 N 26TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984075211",
            "telephone_number": "253-431-4437",
            "fax_number": "253-262-0591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6019 Alameda Ave W",
            "address_purpose": "LOCATION",
            "city": "University Place",
            "state": "WA",
            "postal_code": "984672818",
            "country_code": "US",
            "telephone_number": "253-431-4437",
            "fax_number": "253-262-0591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIND BODY SPIRIT MASSAGE, ELLIE ESTEVES LMP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-18",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A",
        "authorized_official_last_name": "ESTEVES",
        "authorized_official_first_name": "ELIANNETTE",
        "authorized_official_middle_name": "ENID",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "253-431-4437"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "massage",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4308 N 26th St",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984075211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mind Body Spirit Massage, Ellie Esteves LMP LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.

Verify at the official NPI Registry.