Active NPI
Emma Deerheart Kingston, LMT
- Massage Therapist
- Stevenson, WA
National Provider Identifier
1548438658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 61311890
- Practice address
- 40 SW Cascade Ave # 40F
Stevenson, WA 98648-6284 - Phone
- (509) 416-6191
- NPI assigned
- Feb 12, 2008
- Last updated
- Oct 6, 2026
- 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 | 61311890 | WA | Primary |
Addresses
Primary practice location
40 SW Cascade Ave # 40F
Stevenson, WA 98648-6284
Mailing address
262 Cedar Creek Rd
Carson, WA 98610-3112
Phone (509) 416-6191
Other names 1
- Ms. Emma Kristin Ledbetter
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 |
|---|---|---|---|
| 7872 | OR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791244800000",
"number": "1548438658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "262 CEDAR CREEK RD",
"city": "CARSON",
"state": "WA",
"postal_code": "986103112",
"telephone_number": "509-416-6191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 SW CASCADE AVE # 40F",
"city": "STEVENSON",
"state": "WA",
"postal_code": "986486284",
"telephone_number": "509-416-6191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINGSTON",
"first_name": "EMMA",
"middle_name": "DEERHEART",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-12",
"last_updated": "2026-10-06",
"certification_date": "2026-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "61311890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMMA",
"last_name": "LEDBETTER",
"middle_name": "KRISTIN",
"prefix": "MS.",
"credential": "LMT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Stevenson, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.