Active NPI
Ekaterina Eremenko
- Massage Therapist
- Washougal, WA
National Provider Identifier
1760171425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA61420711
- Practice address
- 3777 Addy Street Unit 2
Washougal, WA 98671 - Phone
- (971) 517-7668
- NPI assigned
- May 8, 2023
- Last updated
- May 8, 2023
- Sex
- Female
- Sole proprietor
- No
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 | MA61420711 | WA | Primary |
Addresses
Primary practice location
3777 Addy Street Unit 2
Washougal, WA 98671
Mailing address
3777 Addy Street Unit 2
Washougal, WA 98671
Phone (197) 151-7766
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 |
|---|---|---|---|
| MA61420711 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1760171425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3777 ADDY STREET UNIT 2",
"city": "WASHOUGAL",
"state": "WA",
"postal_code": "98671",
"telephone_number": "197-151-7766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3777 ADDY STREET UNIT 2",
"city": "WASHOUGAL",
"state": "WA",
"postal_code": "98671",
"telephone_number": "971-517-7668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EREMENKO",
"first_name": "EKATERINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-08",
"last_updated": "2023-05-08",
"certification_date": "2023-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA61420711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washougal, WA
- Duley Administrative Services, LLC (Duley Wellness Center)
- Amy Dunne
- Alison Marie Eaton, MA60231781
- Jeffrey Edmondson, PHARMD
- Elite Rehabilitation Medicine PLLC
- Evergreen Therapy Connections, LLC
- Rita Fallin
- Ayman K Farah, DDS
- Colleen Ann Farrell-Campbell, LMP.CR
- Christine Franklin Finucane, L.C.S.W.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.