Active NPI
Amanda Karczewski
- Massage Therapist
- Federal Way, WA
National Provider Identifier
1851924310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA61015251
- Practice address
- 1414 S 324TH St Ste B213
Federal Way, WA 98003-8444 - Phone
- (253) 210-0511
- NPI assigned
- Feb 12, 2020
- Sex
- Female
- Sole proprietor
- No
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 | MA61015251 | Primary |
Addresses
Primary practice location
1414 S 324TH St Ste B213
Federal Way, WA 98003-8444
Mailing address
102 5TH Ave Apt 10-103
Milton, WA 98354-8654
Phone (920) 328-8095
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA61015251 | Other | WA | MASSAGE THERAPY LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | federalway.wa@lavidamassage.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581465600000",
"number": "1851924310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 5TH AVE APT 10-103",
"city": "MILTON",
"state": "WA",
"postal_code": "983548654",
"telephone_number": "920-328-8095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 S 324TH ST STE B213",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980038444",
"telephone_number": "253-210-0511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARCZEWSKI",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-12",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": "MA61015251",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPY LICENSE",
"identifier": "MA61015251",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "federalway.wa@lavidamassage.com",
"affiliation": "N",
"address_1": "1414 S 324th St Ste B213",
"city": "Federal Way",
"state": "WA",
"country_code": "US",
"postal_code": "980038444",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.