Active NPI
Brenda Michele Hughbanks, MA 60040625
- Reflexologist
- Loon Lake, WA
National Provider Identifier
1780836981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reflexologist
- License
- MA 60040625
- Practice address
- 4130 A Garden Spot Rd.
Loon Lake, WA 99148 - Phone
- (509) 233-8660
- NPI assigned
- Oct 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Reflexologist | 173C00000X | MA 60040625 | WA | Primary |
Addresses
Primary practice location
4130 A Garden Spot Rd.
Loon Lake, WA 99148
Mailing address
4130 A Garden Spot Rd.
PO Box 442
Loon Lake, WA 99148
Phone (509) 233-8660
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 60040625 | WA | MD | Reflexologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224547200000",
"number": "1780836981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4130 A GARDEN SPOT RD.",
"address_2": "PO BOX 442",
"city": "LOON LAKE",
"state": "WA",
"postal_code": "99148",
"telephone_number": "509-233-8660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4130 A GARDEN SPOT RD.",
"city": "LOON LAKE",
"state": "WA",
"postal_code": "99148",
"telephone_number": "509-233-8660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGHBANKS",
"first_name": "BRENDA",
"middle_name": "MICHELE",
"credential": "MA 60040625",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-21",
"last_updated": "2008-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": "WA",
"license": "MA 60040625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loon Lake, WA
- Naomi Carrasco
- Paul Frederic Davis, D.D.S.
- Divinity LLC (Divinity)
- Melinda Cecile Ekholm, ARNP
- Here to Help Homecare, LLC (Enable)
- Loon Lake School District #183
- New Health Programs Association (NEW Health Loon Lake Medical)
- Robert John Peterson, LICSW
- Reflect Behavioral Health Billing
- Tina Marie Welsh, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.