Individual provider Active NPI

Eileen Padden Kemink, LMP

  • Massage Therapist
  • Tacoma, WA
National Provider Identifier
1467769240
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
60161730 Issued in WA
Practice address
7654 19TH St W
Tacoma, WA 98466-3615
Phone
(907) 351-7557
NPI assigned
Sep 1, 2010
Last updated
Feb 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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 60161730 WA Primary

Addresses

Primary practice location

7654 19TH St W
Tacoma, WA 98466-3615

Mailing address

7654 19TH St W
Tacoma, WA 98466-3615
Phone (907) 351-7557

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
60161730WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1467769240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7654 19TH ST W",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984663615",
            "telephone_number": "907-351-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7654 19TH ST W",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984663615",
            "telephone_number": "907-351-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMINK",
        "first_name": "EILEEN",
        "middle_name": "PADDEN",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-01",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "60161730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.