Diana-Jean Magtanong, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60534651 Issued in WA

Practice address

11014 SE 192ND St
Renton, WA 98055-7432

Phone

(206) 605-3821

NPI assigned

Feb 9, 2015

Last updated

Feb 9, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Diana Jean Vianzon Magtanong Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1508257825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24505 183RD CT SE",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980425323",
            "telephone_number": "206-605-3821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11014 SE 192ND ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980557432",
            "telephone_number": "206-605-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGTANONG",
        "first_name": "DIANA-JEAN",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60534651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA JEAN",
            "last_name": "MAGTANONG",
            "middle_name": "VIANZON",
            "credential": "LMP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jihee Maeng, RN
• Kristina Louise Maggard, LPN
• Carol Marinas Magno, R.N.
• Roberto Orinion Magno
• Justine Magnotti, SLP
• Christopher Maguire-Adams, DMD
• Rajnita Maharaj, HCA
• Kelsey Maher, LMP
• Ali Mainayar
• Sarah Katherine Maitre, MD

• Massage Therapist in Renton, WA
• Providers in Renton, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.