Eliannette Enid Esteves, MA60615915

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

License

MA60615915 Issued in WA

Practice address

6019 Alameda Ave W
University Place, WA 98467-2818

Phone

(253) 431-4437

NPI assigned

Apr 3, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Theology

State licenses

Practice roles

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.

• Mind Body Spirit Massage, Ellie Esteves LMP LLC

  • Massage Therapist
  • Tacoma, WA
  • NPI 1396454336

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1689106072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6019 ALAMEDA AVE W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984672818",
            "telephone_number": "253-431-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 ALAMEDA AVE W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984672818",
            "telephone_number": "253-431-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTEVES",
        "first_name": "ELIANNETTE",
        "middle_name": "ENID",
        "credential": "MA60615915",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60615915",
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "WA",
            "license": "MA60615915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE",
            "identifier": "EIN",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Eromae
• Aghogho Francis Eruotor
• Makaila Ervin, AACR
• Zachary Erwin
• Vern J Essenberg Jr., MPT
• Eun K Kwon Washington Health Care
• Jenna Evans, MC
• F&M Healthcare, LLC
• Tammy Elana Fahber, LPN
• Melissa Ann Fallat, ARNP

• Prevention Professional in University Place, WA
• Providers in University Place, WA by specialty
• Prevention Professional in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.