Individual provider Active NPI

Candice David

  • Massage Therapist
  • Ellensburg, WA
National Provider Identifier
1831461045
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60075522 Issued in WA
Practice address
502 N Anderson St
Ellensburg, WA 98926-3147
Phone
(509) 925-1530
Fax
(509) 925-1526
NPI assigned
Feb 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60075522 WA Primary

Addresses

Primary practice location

502 N Anderson St
Ellensburg, WA 98926-3147

Mailing address

502 N Anderson St
Ellensburg, WA 98926-3147
Phone (509) 925-1530

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
MA60075522WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Stone Spa PLLC Massage Therapist CurrentSince Mar 30, 2025 Accepting new patients
Middle Path Acupuncture & Oriental Medicine PastSince Mar 30, 2025 Accepting new patients

Locations

502 N Anderson St
Ellensburg, WA 98926
Phone (509) 607-9952

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1831461045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 N ANDERSON ST",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263147",
            "telephone_number": "509-925-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N ANDERSON ST",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263147",
            "telephone_number": "509-925-1530",
            "fax_number": "509-925-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "CANDICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-02",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60075522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellensburg, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.