Active NPI
Kelly Warfield, LMP, CSP
- Massage Therapist
- Kent, WA
National Provider Identifier
1477908101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60359778
- Practice address
- 109 2ND Ave
Kent, WA 98032 - Phone
- (425) 766-0058
- NPI assigned
- May 2, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | MA60359778 | WA | Primary |
Addresses
Primary practice location
109 2ND Ave
Kent, WA 98032
Mailing address
PO Box 394
Maple Valley, WA 98032
Phone (425) 766-0058
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 |
|---|---|---|---|
| MA60359778 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462147200000",
"number": "1477908101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 394",
"city": "MAPLE VALLEY",
"state": "WA",
"postal_code": "98032",
"telephone_number": "425-766-0058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 2ND AVE",
"city": "KENT",
"state": "WA",
"postal_code": "98032",
"telephone_number": "425-766-0058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARFIELD",
"first_name": "KELLY",
"credential": "LMP, CSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-02",
"last_updated": "2016-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60359778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.