Individual provider Active NPI

Samantha Cerna, LMP

  • Massage Therapist
  • Silverdale, WA
National Provider Identifier
1477925840
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
6586541 Issued in WA
Practice address
9216 Bayshore Dr NW
Suite 200
Silverdale, WA 98383-8533
Phone
(136) 069-2411
NPI assigned
Oct 26, 2015
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

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
6586541WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
McCormack Consulting Massage Therapist Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 6586541 WA Primary

Addresses

NPPES NPI Registry

Primary practice location

9216 Bayshore Dr NW
Suite 200
Silverdale, WA 98383-8533

Mailing address

9216 Bayshore Dr NW
Suite 200
Silverdale, WA 98383-8533

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 26, 2015.

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1477925840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9216 BAYSHORE DR NW",
            "address_2": "SUITE 200",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9216 BAYSHORE DR NW",
            "address_2": "SUITE 200",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838533",
            "telephone_number": "136-069-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERNA",
        "first_name": "SAMANTHA",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "6586541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.