Individual provider Active NPI

Kristin Cabral Dahn, LMP

  • Mechanotherapist
  • Sumas, WA
National Provider Identifier
1447409354
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
MA00016584 Issued in WA
Practice address
617 Cherry Street Sumas Professional Building
103 & 104
Sumas, WA 98295-0253
Phone
(360) 988-0533
NPI assigned
Sep 16, 2008
Last updated
Sep 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MA00016584 WA Primary

Addresses

Primary practice location

617 Cherry Street Sumas Professional Building
103 & 104
Sumas, WA 98295-0253

Mailing address

PO Box 253
Sumas, WA 98295-0253
Phone (360) 988-0533

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
MA00016584WAMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221523200000",
    "number": "1447409354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 253",
            "city": "SUMAS",
            "state": "WA",
            "postal_code": "982950253",
            "telephone_number": "360-988-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 CHERRY STREET SUMAS PROFESSIONAL BUILDING",
            "address_2": "103 & 104",
            "city": "SUMAS",
            "state": "WA",
            "postal_code": "982950253",
            "telephone_number": "360-988-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHN",
        "first_name": "KRISTIN",
        "middle_name": "CABRAL",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA00016584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumas, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.