Active NPI
Kimberley Lynn Addy
- Massage Therapist
- Seattle, WA
National Provider Identifier
1649041468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 61408282
- Practice address
- 6307 California Ave SW
Seattle, WA 98136-1892 - Phone
- (206) 902-7608
- NPI assigned
- Jan 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 61408282 | WA | Primary |
Addresses
Primary practice location
6307 California Ave SW
Seattle, WA 98136-1892
Mailing address
4715 42ND Ave SW Apt 306
Seattle, WA 98116-4620
Phone (509) 270-7661
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 |
|---|---|---|---|
| 61408282 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1649041468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4715 42ND AVE SW APT 306",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981164620",
"telephone_number": "509-270-7661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6307 CALIFORNIA AVE SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981361892",
"telephone_number": "206-902-7608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADDY",
"first_name": "KIMBERLEY",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-10",
"last_updated": "2024-01-10",
"certification_date": "2024-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "61408282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.