Individual provider Active NPI

Yolanda Sakuma, LMP

  • Massage Therapist
  • Mount Vernon, WA
National Provider Identifier
1427249606
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00019667 Issued in WA
Practice address
113 S 11TH St
Mount Vernon, WA 98274-4025
Phone
(360) 421-0435
Fax
(360) 404-3906
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X
Massage Therapist 225700000X MA00019667 WA Primary

Addresses

Primary practice location

113 S 11TH St
Mount Vernon, WA 98274-4025

Mailing address

405 Vine St
Burlington, WA 98233-2532
Phone (360) 421-0435

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
MA00019667WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jamie L Southard DC PC Single Specialty PastSince Dec 8, 2015 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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1427249606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 VINE ST",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982332532",
            "telephone_number": "360-421-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S 11TH ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744025",
            "telephone_number": "360-421-0435",
            "fax_number": "360-404-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKUMA",
        "first_name": "YOLANDA",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00019667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, 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.

Verify at the official NPI Registry.