Vonda L Goellner, LMP LICENSE MASSAGE

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

3909 Castlevale Rd
Ste 300
Yakima, WA 98902

Phone

(509) 965-5852

Fax

(509) 965-3594

NPI assigned

Jan 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780736793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 PEARL PL",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "98901",
            "telephone_number": "509-576-8969",
            "fax_number": "509-965-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 CASTLEVALE RD",
            "address_2": "STE 300",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "98902",
            "telephone_number": "509-965-5852",
            "fax_number": "509-965-3594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOELLNER",
        "first_name": "VONDA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LMP LICENSE MASSAGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L AND I",
            "identifier": "116432",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "G09402",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Wallace Godfrey, M.D.
• Natasha K Godines
• Nelida Noemi Godinez Mojica
• Diana A Godinez
• Vince M Godinez, MEDICAL INTERPRETER
• Allen E Golden, DC
• Lisa Gole, MA, CCC-SLP
• Thomas F. Gole, DO
• Tashae Gomez Jones
• Edith Dinorah Gomez

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.