Individual provider Active NPI

Leah L Kuyper, LMP

  • Specialist
  • Marysville, WA
National Provider Identifier
1750535886
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA 00024829 Issued in WA
Practice address
610 Beach Ave Ste 1
Marysville, WA 98270-4571
Phone
(425) 422-1558
NPI assigned
Nov 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA 00024829 WA Primary

Addresses

Primary practice location

610 Beach Ave Ste 1
Marysville, WA 98270-4571

Mailing address

11508 20TH St SE
Lake Stevens, WA 98258-4751
Phone (425) 345-1933

Other practice location 1

5019 Grove St Ste 103B
Marysville, WA 98270-4487
Phone (425) 345-1933

Other practice location 2

1700 132nd St SE
Suite L
Mill Creek, WA 98012-5309
Phone (425) 338-1555

Other practice location 3

9433 4th St NE Ste 104
Lake Stevens, WA 98258-1653
Phone (425) 345-1933

Other practice location 4

305 Columbia Ave
Marysville, WA 98270-5022
Phone (425) 345-1933

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Leah@earthbodymassageandspa.com Direct

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
MA 00024829WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Earthbody Massage and Spa Specialist CurrentSince Feb 1, 2022 Accepting new patients

Locations

305 Columbia Ave
Marysville, WA 98270
Phone (425) 345-1933

610 Beach Ave
Ste 1
Marysville, WA 98270
Phone (425) 328-4446

Organizations & group practices 1

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": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1750535886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11508 20TH ST SE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982584751",
            "telephone_number": "425-345-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 BEACH AVE STE 1",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704571",
            "telephone_number": "425-422-1558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5019 Grove St Ste 103B",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "WA",
            "postal_code": "982704487",
            "country_code": "US",
            "telephone_number": "425-345-1933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 132nd St SE",
            "address_2": "Suite L",
            "address_purpose": "LOCATION",
            "city": "Mill Creek",
            "state": "WA",
            "postal_code": "980125309",
            "country_code": "US",
            "telephone_number": "425-338-1555",
            "fax_number": "425-338-0765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9433 4th St NE Ste 104",
            "address_purpose": "LOCATION",
            "city": "Lake Stevens",
            "state": "WA",
            "postal_code": "982581653",
            "country_code": "US",
            "telephone_number": "425-345-1933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 Columbia Ave",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "WA",
            "postal_code": "982705022",
            "country_code": "US",
            "telephone_number": "425-345-1933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUYPER",
        "first_name": "LEAH",
        "middle_name": "L",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-17",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA 00024829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Leah@earthbodymassageandspa.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "305 Columbia Ave",
            "city": "Marysville",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982705022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.