Active NPI
Tianna D Anderson, LMP
- Massage Therapist
- Kent, WA
National Provider Identifier
1750691622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60055646
- Practice address
- 10618 SE Kent Kangley Rd
Suite 104
Kent, WA 98030-9048 - Phone
- (253) 859-5433
- Fax
- (253) 859-4887
- NPI assigned
- Oct 13, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60055646 | WA | Primary |
Addresses
Primary practice location
10618 SE Kent Kangley Rd
Suite 104
Kent, WA 98030-9048
Mailing address
10618 SE Kent Kangley Rd
Suite 104
Kent, WA 98030-9048
Phone (253) 859-5433
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 |
|---|---|---|---|
| MA60055646 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Babich Corporation | Past | Accepting new patients |
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": "1286928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286928000000",
"number": "1750691622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10618 SE KENT KANGLEY RD",
"address_2": "SUITE 104",
"city": "KENT",
"state": "WA",
"postal_code": "980309048",
"telephone_number": "253-859-5433",
"fax_number": "253-859-4887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10618 SE KENT KANGLEY RD",
"address_2": "SUITE 104",
"city": "KENT",
"state": "WA",
"postal_code": "980309048",
"telephone_number": "253-859-5433",
"fax_number": "253-859-4887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "TIANNA",
"middle_name": "D",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-13",
"last_updated": "2010-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60055646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.