Individual provider Active NPI

Eve Keen, LMP

  • Massage Therapist
  • Ephrata, WA
National Provider Identifier
1770907677
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00017379 Issued in WA
Practice address
51 Alder St NW
Ephrata, WA 98823-1663
Phone
(509) 754-3295
Fax
(509) 754-3296
NPI assigned
Feb 12, 2014
Sex
Female
Sole proprietor
Yes

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.

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
MA00017379WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Basin Chiropractic Care P.S. PastSince Dec 14, 2006 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00017379 WA Primary

Addresses

NPPES NPI Registry

Primary practice location

51 Alder St NW
Ephrata, WA 98823-1663

Mailing address

51 Alder St NW
Ephrata, WA 98823-1663
Phone (509) 754-3295

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 12, 2014.

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1770907677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 ALDER ST NW",
            "city": "EPHRATA",
            "state": "WA",
            "postal_code": "988231663",
            "telephone_number": "509-754-3295",
            "fax_number": "509-754-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 ALDER ST NW",
            "city": "EPHRATA",
            "state": "WA",
            "postal_code": "988231663",
            "telephone_number": "509-754-3295",
            "fax_number": "509-754-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEN",
        "first_name": "EVE",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00017379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.