Individual provider Active NPI

Danielle Nicole Stevens, LMT

  • Massage Therapist
  • Yakima, WA
National Provider Identifier
1841489523
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
107 S 7TH Ave Ste 203
Yakima, WA 98902-3385
Phone
(509) 453-1420
Fax
(509) 453-1453
NPI assigned
Oct 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2024

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 Primary

Addresses

Primary practice location

107 S 7TH Ave Ste 203
Yakima, WA 98902-3385

Mailing address

107 S 7TH Ave Ste 203
Yakima, WA 98902-3385
Phone (509) 453-1420

Other identifiers 3

IdentifierTypeStateIssuer
0195427OtherWALABOR & INDUSTRIES
365096198OtherWA365096198
MA00020706OtherWAMASSAGE PRACTIONER

Other names 1

  • Danielle Nicole Carrillo Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Yakima Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
DCS Therapeutic Massage Massage Therapist Past Accepting new patients

Organizations & group practices 1

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": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1841489523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S 7TH AVE STE 203",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023385",
            "telephone_number": "509-453-1420",
            "fax_number": "509-453-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S 7TH AVE STE 203",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023385",
            "telephone_number": "509-453-1420",
            "fax_number": "509-453-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "DANIELLE",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-18",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0195427",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "365096198",
            "identifier": "365096198",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE PRACTIONER",
            "identifier": "MA00020706",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Yakima",
            "affiliation": "N",
            "endpointDescription": "Clinic location",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Physical location",
            "address_1": "107 S 7th Ave Ste 203",
            "city": "Yakima",
            "state": "WA",
            "country_code": "US",
            "postal_code": "989023385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "CARRILLO",
            "middle_name": "NICOLE",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.