Individual provider Active NPI

Catheryn Anne Mackey-Yeaw, MT

  • Massage Therapist
  • Chewelah, WA
National Provider Identifier
1710229091
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60332636 Issued in WA
Practice address
3381 N Caffell Rd
Chewelah, WA 99109-9432
Phone
(509) 671-1721
Fax
(509) 445-0646
NPI assigned
Mar 25, 2013
Last updated
Mar 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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 MA60332636 WA Primary

Addresses

Primary practice location

3381 N Caffell Rd
Chewelah, WA 99109-9432

Mailing address

3381 N Caffell Rd
Chewelah, WA 99109-9432
Phone (509) 671-1721

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
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
MA60332636WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1710229091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3381 N CAFFELL RD",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991099432",
            "telephone_number": "509-671-1721",
            "fax_number": "509-445-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3381 N CAFFELL RD",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991099432",
            "telephone_number": "509-671-1721",
            "fax_number": "509-445-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEY-YEAW",
        "first_name": "CATHERYN",
        "middle_name": "ANNE",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60332636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chewelah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.