Gina D Mascorro

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61127571 Issued in WA

Practice address

8131 W Klamath CT Ste H
Kennewick, WA 99336-5251

Phone

(509) 736-5456

Fax

(509) 735-9868

NPI assigned

Feb 9, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: centerforfunctionalhealth.ginalusignan@151770.advancedmd-direct.com

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1699367854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4317 W 7TH AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993364334",
            "telephone_number": "509-551-3231",
            "fax_number": "509-735-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8131 W KLAMATH CT STE H",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365251",
            "telephone_number": "509-736-5456",
            "fax_number": "509-735-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCORRO",
        "first_name": "GINA",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61127571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST",
            "identifier": "MA61127571",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Kennewick",
            "affiliation": "N",
            "address_1": "8131 W Klamath Ct Ste H",
            "city": "Kennewick",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993365251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lizzette Isabel Martinez
• Mayra Martinez
• Yatsumi Martinez
• James P. Martyn, CRNA
• Srinivas Murthy Mascal Gangadharaiah, MD
• Tammi Mascorro
• Shannalee Mask
• Nicholas Mason
• Massage Haven (April Hoegh)
• Christy B Masterman, ARNP

• Massage Therapist in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.