Organization Active NPI

Serenity Stone Spa PLLC

  • Massage Therapist
  • Ellensburg, WA
National Provider Identifier
1396558458
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
SERENITY STONE SPA PLLC
Practice address
502 N Anderson St
Ellensburg, WA 98926-3147
Phone
(509) 925-1530
NPI assigned
Jan 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Authorized official

Name
Stayce Hale, LMPNPI 1073859120
Title
Owner
Phone
(509) 925-1530

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

502 N Anderson St
Ellensburg, WA 98926-3147

Mailing address

502 N Anderson St
Ellensburg, WA 98926-3147
Phone (509) 925-1530

Other names 1

  • Middle Path Acupuncture Doing business as

National Provider Directory

National Provider Directory

Locations

502 N Anderson St
Ellensburg, WA 98926
Phone (509) 607-9952

Practitioners & affiliated clinicians

Practitioners 6

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": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1396558458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 N ANDERSON ST",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263147",
            "telephone_number": "509-925-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N ANDERSON ST",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263147",
            "telephone_number": "509-925-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY STONE SPA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "STAYCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-925-1530",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middle Path Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellensburg, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.