Individual provider Active NPI

Kindra Nadine Dumar, LMT

  • Massage Therapist
  • Lacey, WA
National Provider Identifier
1871087486
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00024432 Issued in WA
Practice address
1210 Sleater Kinney Rd SE
Lacey, WA 98503-2316
Phone
(360) 352-4511
NPI assigned
Jun 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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 MA00024432 WA Primary

Addresses

Primary practice location

1210 Sleater Kinney Rd SE
Lacey, WA 98503-2316

Mailing address

3200 Capital Mall Dr SW Apt J202
Olympia, WA 98502-8670
Phone (360) 350-8284

Other practice location 1

1210 Sleater Kinney Rd SE
Lacey, WA 98503-2316
Phone (360) 352-4511

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
MA00024432WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1871087486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 CAPITAL MALL DR SW APT J202",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028670",
            "telephone_number": "360-350-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 SLEATER KINNEY RD SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985032316",
            "telephone_number": "360-352-4511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1210 Sleater Kinney Rd SE",
            "address_purpose": "LOCATION",
            "city": "Lacey",
            "state": "WA",
            "postal_code": "985032316",
            "country_code": "US",
            "telephone_number": "360-352-4511",
            "fax_number": "360-754-4703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUMAR",
        "first_name": "KINDRA",
        "middle_name": "NADINE",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00024432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.