Active NPI
Kathleen L Carter, LMP
- Massage Therapist
- Bellevue, WA
National Provider Identifier
1740617836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 60348074
- Practice address
- 5446 119TH Ave SE #D
Bellevue, WA 98006 - Phone
- (425) 786-7482
- NPI assigned
- Oct 3, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 60348074 | WA | Primary |
| Massage Therapist | 225700000X | MT021588 | TX |
Addresses
Primary practice location
5446 119TH Ave SE #D
Bellevue, WA 98006
Mailing address
650 Duvall Ave NE Apt H813
Renton, WA 98059-5731
Phone (425) 786-7482
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
| License | State | Type | Specialty |
|---|---|---|---|
| MT021588 | TX | MD | Massage Therapist |
| 60348074 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380758400000",
"number": "1740617836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 DUVALL AVE NE APT H813",
"city": "RENTON",
"state": "WA",
"postal_code": "980595731",
"telephone_number": "425-786-7482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5446 119TH AVE SE #D",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98006",
"telephone_number": "425-786-7482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "KATHLEEN",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-03",
"last_updated": "2013-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "60348074",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT021588",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.