Individual provider Active NPI

Emiko N/a Nakamura I, LMP

  • Massage Therapist
  • Mill Creek, WA
National Provider Identifier
1629627112
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00006215 Issued in WA
Practice address
800 164TH St SE Ste O
Mill Creek, WA 98012-6301
Phone
(425) 737-5343
NPI assigned
Sep 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA00006215 WA Primary

Addresses

Primary practice location

800 164TH St SE Ste O
Mill Creek, WA 98012-6301

Mailing address

2129 Maltby Rd Unit D107
Bothell, WA 98021-7460
Phone (425) 215-5686

Other practice location 1

2129 Maltby Rd Unit D107
Bothell, WA 98021-7460
Phone (425) 215-5686

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
MA00006215WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Amazing Life Chiropractic & Wellness PLLC PastSince Sep 8, 2019 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1629627112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2129 MALTBY RD UNIT D107",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980217460",
            "telephone_number": "425-215-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 164TH ST SE STE O",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980126301",
            "telephone_number": "425-737-5343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2129 Maltby Rd Unit D107",
            "address_purpose": "LOCATION",
            "city": "Bothell",
            "state": "WA",
            "postal_code": "980217460",
            "country_code": "US",
            "telephone_number": "425-215-5686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAKAMURA",
        "first_name": "EMIKO",
        "middle_name": "N/A",
        "name_suffix": "I",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00006215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Creek, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.