Active NPI
Amber Raynee Buckles
- Massage Therapist
- Yakima, WA
National Provider Identifier
1427614726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60934621
- Practice address
- 1015 S 40TH Ave Ste 18
Yakima, WA 98908-3867 - Phone
- (509) 965-0100
- Fax
- (509) 902-8118
- NPI assigned
- May 13, 2019
- 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 | MA60934621 | WA | Primary |
Addresses
Primary practice location
1015 S 40TH Ave Ste 18
Yakima, WA 98908-3867
Mailing address
1015 S 40TH Ave Ste 18
Yakima, WA 98908-3867
Phone (509) 965-0100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA60934621 | Other | WA | WASHINGTON STATE DEPARTMENT OF HEALTH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA60934621 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557705600000",
"number": "1427614726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 S 40TH AVE STE 18",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989083867",
"telephone_number": "509-965-0100",
"fax_number": "509-902-8118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 S 40TH AVE STE 18",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989083867",
"telephone_number": "509-965-0100",
"fax_number": "509-902-8118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKLES",
"first_name": "AMBER",
"middle_name": "RAYNEE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-13",
"last_updated": "2019-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60934621",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
"identifier": "MA60934621",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.