Kiri Benedict

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61491668 Issued in WA

Practice address

100 E 19TH St Ste 500
Vancouver, WA 98663-3385

Phone

(360) 313-6465

NPI assigned

Apr 29, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Fern & Fae Massage

  • Massage Therapist
  • Vancouver, WA
  • NPI 1255038295
  NPD

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1619723558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 HIGHLAND RD",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986717429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E 19TH ST STE 500",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633385",
            "telephone_number": "360-313-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEDICT",
        "first_name": "KIRI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61491668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Charles Bender, MS LMHC
• Cari Bendersky
• Daniel Michael Benedick, MD
• Donna L Benedicktus, LMP
• Brandy D Benedict, RN
• Tamara Benedict
• Cecilia Lizbeth Benitez Soto
• Alberto Benitez
• Hannah Elizabeth Benitez
• Bethany G Benjamin, LICSW

• Massage Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.