Active NPI
Cherry Tamisin Sta. Maria
- Massage Therapist
- Bellevue, WA
National Provider Identifier
1598071599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 60173659
- Practice address
- 10655 NE 4TH St, Suite 101
Bellevue, WA 98004 - Phone
- (425) 455-2225
- Fax
- (425) 454-7767
- NPI assigned
- Aug 27, 2010
- 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 | MA 60173659 | WA | Primary |
Addresses
Primary practice location
10655 NE 4TH St, Suite 101
Bellevue, WA 98004
Mailing address
12227 78TH Ave S
Seattle, WA 98178-4408
Phone (206) 291-5145
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 |
|---|---|---|---|
| MA 60173659 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283126400000",
"number": "1598071599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12227 78TH AVE S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981784408",
"telephone_number": "206-291-5145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10655 NE 4TH ST, SUITE 101",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98004",
"telephone_number": "425-455-2225",
"fax_number": "425-454-7767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STA. MARIA",
"first_name": "CHERRY",
"middle_name": "TAMISIN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-27",
"last_updated": "2010-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA 60173659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.