Kateri Cheyenne Smith

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

60656525 Issued in WA

Practice address

120 NE 136TH Ave
Suite 205
Vancouver, WA 98684-6949

Phone

(360) 597-3511

NPI assigned

Dec 16, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481846400000",
    "number": "1780128223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11018 NE 98TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986622274",
            "telephone_number": "360-213-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 NE 136TH AVE",
            "address_2": "SUITE 205",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846949",
            "telephone_number": "360-597-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATERI",
        "middle_name": "CHEYENNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-16",
        "last_updated": "2016-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "60656525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Patrick Smith, M.D.
• Jeffery Smith, PA-C
• Jessica Amanda Smith, MD
• Jordan A Smith, DC
• Karen Smith
• Kelly C Smith, D.C.
• Kepler Sage Smith, MSW
• Kevin Joseph Smith, D.D.S.
• Kiersten A Smith, MOTRL
• Leslie Smith, PHD

• Massage Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.