Individual provider Active NPI

Maria Anne Noonan, LMP

  • Massage Therapist
  • West Richland, WA
National Provider Identifier
1588098636
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60316994 Issued in WA
Practice address
4791 W Van Giesen St Ste B
West Richland, WA 99353-5085
Phone
(509) 967-5650
Fax
(509) 967-2900
NPI assigned
Aug 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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 MA60316994 WA Primary

Addresses

Primary practice location

4791 W Van Giesen St Ste B
West Richland, WA 99353-5085

Mailing address

4791 W Van Giesen St Ste B
West Richland, WA 99353-5085
Phone (509) 967-5650

Other names 1

  • Mrs. Maria Anne Kennedy Other name

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

LicenseStateTypeSpecialty
MA60316994WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
TRSR, PLLC Past Accepting new patients
Core Concepts, PLLC PastSince Jul 1, 2008 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1588098636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4791 W VAN GIESEN ST STE B",
            "city": "WEST RICHLAND",
            "state": "WA",
            "postal_code": "993535085",
            "telephone_number": "509-967-5650",
            "fax_number": "509-967-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4791 W VAN GIESEN ST STE B",
            "city": "WEST RICHLAND",
            "state": "WA",
            "postal_code": "993535085",
            "telephone_number": "509-967-5650",
            "fax_number": "509-967-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOONAN",
        "first_name": "MARIA",
        "middle_name": "ANNE",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60316994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "KENNEDY",
            "middle_name": "ANNE",
            "prefix": "MRS.",
            "credential": "LMP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.