Individual provider Active NPI

Jackeline Andrea Mencos-Cante

  • Massage Therapist
  • Federal Way, WA
National Provider Identifier
1508631409
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
2317 SW 320TH St Ste 3
Federal Way, WA 98023-2567
Phone
(253) 839-9330
Fax
(253) 839-9330
NPI assigned
Nov 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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 Primary

Addresses

Primary practice location

2317 SW 320TH St Ste 3
Federal Way, WA 98023-2567

Mailing address

33422 192ND Ave SE Unit 54
Auburn, WA 98092-2267
Phone (206) 451-9292

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

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1508631409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33422 192ND AVE SE UNIT 54",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980922267",
            "telephone_number": "206-451-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 SW 320TH ST STE 3",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980232567",
            "telephone_number": "253-839-9330",
            "fax_number": "253-839-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENCOS-CANTE",
        "first_name": "JACKELINE",
        "middle_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.