Active NPI
Kandace Neufeld
- Massage Therapist
- Bonney Lake, WA
National Provider Identifier
1659762011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 18507 94TH Street CT E
Bonney Lake, WA 98391-8556 - Phone
- (253) 973-6988
- NPI assigned
- Feb 6, 2015
- 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 | Primary |
Addresses
Primary practice location
18507 94TH Street CT E
Bonney Lake, WA 98391-8556
Mailing address
18507 94TH Street CT E
Bonney Lake, WA 98391-8556
Phone (253) 973-6988
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423180800000",
"number": "1659762011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18507 94TH STREET CT E",
"city": "BONNEY LAKE",
"state": "WA",
"postal_code": "983918556",
"telephone_number": "253-973-6988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18507 94TH STREET CT E",
"city": "BONNEY LAKE",
"state": "WA",
"postal_code": "983918556",
"telephone_number": "253-973-6988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUFELD",
"first_name": "KANDACE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-06",
"last_updated": "2015-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bonney Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.