Active NPI
Karen Pereda, LMP
- Massage Therapist
- Lynnwood, WA
National Provider Identifier
1417773300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 6501 196TH St SW Ste C
Lynnwood, WA 98036-5980 - Phone
- (425) 775-2288
- NPI assigned
- Nov 25, 2024
- Last updated
- Mar 16, 2025
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
6501 196TH St SW Ste C
Lynnwood, WA 98036-5980
Mailing address
7415 212TH St SW Apt 4
Edmonds, WA 98026-7608
Phone (425) 475-6792
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeplus Health Centers, PS | Massage Therapist | Current | Accepting new patients |
| Stephanie Greenall | Massage Therapist | Past | Accepting new patients |
Locations
6501 196th St SW
Ste C
Lynnwood, WA 98036
Phone (425) 775-2288
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742083200000",
"number": "1417773300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7415 212TH ST SW APT 4",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980267608",
"telephone_number": "425-475-6792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501 196TH ST SW STE C",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980365980",
"telephone_number": "425-775-2288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREDA",
"first_name": "KAREN",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-25",
"last_updated": "2025-03-16",
"certification_date": "2025-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.