Individual provider Active NPI

Kara M. White, LMP

  • Massage Therapist
  • Auburn, WA
National Provider Identifier
1710167960
Registry record updated Nov 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00024856 Issued in WA
Practice address
1408 Lake Tapps Pkwy E
Suite E106
Auburn, WA 98092-8158
Phone
(253) 939-7179
NPI assigned
Nov 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00024856 WA Primary

Addresses

Primary practice location

1408 Lake Tapps Pkwy E
Suite E106
Auburn, WA 98092-8158

Mailing address

1408 Lake Tapps Pkwy E
Suite E106
Auburn, WA 98092-8158
Phone (253) 939-7179

Other names 1

  • Miss Kara M. Zacharias Former 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
MA00024856WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Outpatient Physical Therapy & Sports Rehabilitation Inc PC Past Accepting new patients
Lakeland Sports & Spine Physical Therapy PastSince Jun 13, 2016 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194825600000",
    "number": "1710167960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 LAKE TAPPS PKWY E",
            "address_2": "SUITE E106",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980928158",
            "telephone_number": "253-939-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 LAKE TAPPS PKWY E",
            "address_2": "SUITE E106",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980928158",
            "telephone_number": "253-939-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KARA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00024856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "ZACHARIAS",
            "middle_name": "M.",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.