Organization Active NPI

Mariposa Wellness

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1548602220
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 60012489 Issued in WA
Legal business name
MARIPOSA WELLNESS
Practice address
4033 Stone Way N
Seattle, WA 98103-8011
Phone
(707) 832-8407
NPI assigned
Jul 23, 2013
Last updated
Jul 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Sara Marie Prato, LMP, RD, CDNPI 1215194378
Title
Owner
Phone
(707) 832-8407

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DI 60129238 WA
Registered Dietitian 133V00000X 1003914 NU
Massage Therapist 225700000X MA 60012489 WA Primary

Addresses

Primary practice location

4033 Stone Way N
Seattle, WA 98103-8011

Mailing address

109 NW 39TH St
Seattle, WA 98107-4924
Phone (707) 832-8407

National Provider Directory

National Provider Directory

Locations

4033 Stone Way N
Seattle, WA 98103
Phone (206) 675-1740

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1548602220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 NW 39TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074924",
            "telephone_number": "707-832-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 STONE WAY N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038011",
            "telephone_number": "707-832-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIPOSA WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "PRATO",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-832-8407",
        "authorized_official_credential": "LMP, RD, CD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI 60129238",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": "1003914",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA  60012489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.