Palesteen Vanell Hart, MA60335498

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA60335498 Issued in WA

Practice address

24001 56TH Ave W
Suite D-404
Mountlake Terrace, WA 98043-5558

Phone

(425) 633-9458

NPI assigned

Feb 4, 2014

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

Other identifiers 1

Other names 1

• Palesteen Vanell Williams Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1629491139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24001 56TH AVE W",
            "address_2": "SUITE D-404",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980435558",
            "telephone_number": "425-633-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24001 56TH AVE W",
            "address_2": "SUITE D-404",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980435558",
            "telephone_number": "425-633-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "PALESTEEN",
        "middle_name": "VANELL",
        "credential": "MA60335498",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA60335498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE PRACTITIONER LICENSE",
            "identifier": "MA60335498",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PALESTEEN",
            "last_name": "WILLIAMS",
            "middle_name": "VANELL",
            "credential": "MA60335498",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Specialist in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.