Individual provider Active NPI

Christina Jill Cardella, LMP

  • Massage Therapist
  • Spokane, WA
National Provider Identifier
1467706036
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 60279629 Issued in WA
Practice address
3017 E Francis Ave Ste 101
Spokane, WA 99208-2435
Phone
(509) 467-7991
Fax
(509) 467-4834
NPI assigned
Nov 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA 60279629 WA Primary

Addresses

Primary practice location

3017 E Francis Ave Ste 101
Spokane, WA 99208-2435

Mailing address

3017 E Francis Ave Ste 101
Spokane, WA 99208-2435
Phone (509) 467-7991

Other names 1

  • Christina Jill Pendleton Former name

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
MA 60279629WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Valente Chiropractic PLLC CurrentSince Aug 30, 2020 Accepting new patients
Willis S Muncey P S PastSince Aug 30, 2020 Accepting new patients

Locations

3017 E Francis Ave
Ste 101
Spokane, WA 99208
Phone (509) 467-0057

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1467706036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 E FRANCIS AVE STE 101",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992082435",
            "telephone_number": "509-467-7991",
            "fax_number": "509-467-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 E FRANCIS AVE STE 101",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992082435",
            "telephone_number": "509-467-7991",
            "fax_number": "509-467-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDELLA",
        "first_name": "CHRISTINA",
        "middle_name": "JILL",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-05",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60279629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "PENDLETON",
            "middle_name": "JILL",
            "credential": "LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.