Individual provider Active NPI

Lydia J. Myakota-Rowan, LMT

  • Specialist
  • Seattle, WA
National Provider Identifier
1669657441
Registry record updated Dec 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00013913 Issued in WA
Practice address
4308 SW 100TH St
Seattle, WA 98146-1052
Phone
(206) 935-2909
NPI assigned
Dec 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00013913 WA Primary

Addresses

Primary practice location

4308 SW 100TH St
Seattle, WA 98146-1052

Mailing address

4308 SW 100TH St
Seattle, WA 98146-1052
Phone (206) 935-2909

Other names 1

  • Ms. Lydia Myakota-Rowan Professional name

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
MA00013913WAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1198972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198972800000",
    "number": "1669657441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 SW 100TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981461052",
            "telephone_number": "206-935-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 SW 100TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981461052",
            "telephone_number": "206-935-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYAKOTA-ROWAN",
        "first_name": "LYDIA",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-30",
        "last_updated": "2007-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00013913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYDIA",
            "last_name": "MYAKOTA-ROWAN",
            "prefix": "MS.",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Dec 30, 2007; 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.