Active NPI
Chante Rose Nye Perez, LMP
- Massage Therapist
- Kent, WA
National Provider Identifier
1578820130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 60253863
- Practice address
- 15220 SE 272ND St Ste G
Kent, WA 98042-4241 - Phone
- (253) 630-6768
- NPI assigned
- Apr 19, 2012
- Last updated
- Apr 19, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 60253863 | WA | Primary |
Addresses
Primary practice location
15220 SE 272ND St Ste G
Kent, WA 98042-4241
Mailing address
2203 Blaine Cir SE
Renton, WA 98055-4503
Phone (360) 584-2742
Other names 1
- Chante Rose Nye
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 |
|---|---|---|---|
| 60253863 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elle a Clinical Day Spa, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334793600000",
"number": "1578820130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2203 BLAINE CIR SE",
"city": "RENTON",
"state": "WA",
"postal_code": "980554503",
"telephone_number": "360-584-2742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15220 SE 272ND ST STE G",
"city": "KENT",
"state": "WA",
"postal_code": "980424241",
"telephone_number": "253-630-6768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYE PEREZ",
"first_name": "CHANTE",
"middle_name": "ROSE",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-19",
"last_updated": "2012-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "60253863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHANTE",
"last_name": "NYE",
"middle_name": "ROSE",
"code": "5",
"type": "Other Name"
}
]
}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 Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.