Active NPI
Amber Dawn Valentine, LMP
- Massage Therapist
- Yelm, WA
National Provider Identifier
1760780845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60209214
- Practice address
- 17515 Clear Lake Blvd SE
Yelm, WA 98597-8976 - Phone
- (360) 894-1543
- NPI assigned
- Mar 14, 2011
- 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 | MA60209214 | WA | Primary |
Addresses
Primary practice location
17515 Clear Lake Blvd SE
Yelm, WA 98597-8976
Mailing address
17515 Clear Lake Blvd SE
Yelm, WA 98597-8976
Phone (360) 894-1543
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 |
|---|---|---|---|
| MA60209214 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300060800000",
"number": "1760780845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17515 CLEAR LAKE BLVD SE",
"city": "YELM",
"state": "WA",
"postal_code": "985978976",
"telephone_number": "360-894-1543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17515 CLEAR LAKE BLVD SE",
"city": "YELM",
"state": "WA",
"postal_code": "985978976",
"telephone_number": "360-894-1543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTINE",
"first_name": "AMBER",
"middle_name": "DAWN",
"name_prefix": "Ms.",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-14",
"last_updated": "2011-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60209214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yelm, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.