Active NPI
Kalia Janai Neal, MA 61252181
- Massage Therapist
- Spokane Valley, WA
National Provider Identifier
1831801463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA61252181
- Practice address
- 12121 E Broadway Ave Ste 5B
Spokane Valley, WA 99206-4972 - Phone
- (509) 921-9800
- NPI assigned
- Dec 14, 2022
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA61252181 | WA | Primary |
Addresses
Primary practice location
12121 E Broadway Ave Ste 5B
Spokane Valley, WA 99206-4972
Mailing address
2615 N Madison St
Spokane, WA 99205-3463
Phone (509) 601-8779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA61252181 | Other | WA | LICENSED MASSAGE THERAPIST |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kalianeal6@hotmail.com | ||
| CONNECT URL | officevmc@comcast.net |
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 |
|---|---|---|---|
| MA61252181 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670976000000",
"number": "1831801463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2615 N MADISON ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992053463",
"telephone_number": "509-601-8779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12121 E BROADWAY AVE STE 5B",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992064972",
"telephone_number": "509-921-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "KALIA",
"middle_name": "JANAI",
"credential": "MA 61252181",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-14",
"last_updated": "2022-12-14",
"certification_date": "2022-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA61252181",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED MASSAGE THERAPIST",
"identifier": "MA61252181",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kalianeal6@hotmail.com",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "12121 E Broadway Ave Ste 5B",
"city": "Spokane Valley",
"state": "WA",
"country_code": "US",
"postal_code": "992064972",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "officevmc@comcast.net",
"affiliation": "N",
"address_1": "12121 E Broadway Ave Ste 5B",
"city": "Spokane Valley",
"state": "WA",
"country_code": "US",
"postal_code": "992064972",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.