Active NPI
Yvette Melinda Sylvander Novak, LMP
- Health Service Clinic/Center
- Kent, WA
National Provider Identifier
1508021262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- MA00007886
- Practice address
- 2028 S 272ND St
Yvettes Massage Therapy
Kent, WA 98032 - Phone
- (253) 839-4210
- NPI assigned
- Jul 22, 2008
- 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 |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | MA00007886 | WA | Primary |
Addresses
Primary practice location
2028 S 272ND St
Yvettes Massage Therapy
Kent, WA 98032
Mailing address
2028 S 272ND St
Yvettes Massage Therapy
Kent, WA 98032
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 |
|---|---|---|---|
| MA00007886 | WA | MD | Health Service Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216684800000",
"number": "1508021262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2028 S 272ND ST",
"address_2": "YVETTES MASSAGE THERAPY",
"city": "KENT",
"state": "WA",
"postal_code": "98032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2028 S 272ND ST",
"address_2": "YVETTES MASSAGE THERAPY",
"city": "KENT",
"state": "WA",
"postal_code": "98032",
"telephone_number": "253-839-4210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYLVANDER NOVAK",
"first_name": "YVETTE",
"middle_name": "MELINDA",
"name_prefix": "Mrs.",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-22",
"last_updated": "2008-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "WA",
"license": "MA00007886",
"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 Jul 22, 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.