Kevin Ray Stgermain Jr.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60668279 Issued in WA

Practice address

612 SW 152ND St
Burien, WA 98166-2213

Phone

(206) 244-1466

NPI assigned

Aug 1, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Integrum Healthcare LLC

  • Clinic/Center
  • Burien, WA
  • NPI 1619268802
  NPD (past)
• Moss Chiropractic PC

  • Chiropractor
  • Burien, WA
  • NPI 1194913244
  NPD (past)

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470009600000",
    "number": "1891248456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 S 285TH PL BLDG BE",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980033026",
            "telephone_number": "253-686-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 SW 152ND ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662213",
            "telephone_number": "206-244-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STGERMAIN",
        "first_name": "KEVIN",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-01",
        "last_updated": "2016-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60668279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Spencer Steffa, OTR L,CHT
• Richard E Stein, M.D.
• Michael Steiner, MD
• Sjardo L Steneker, MD
• Victoria Stepanova, CDP
• Mary Stimson
• Caitlin Stone, RN
• Ryan Jeffrey Stone, DPM
• Tara Stordahl
• John Martin Strayer, M.D.

• Massage Therapist in Burien, WA
• Providers in Burien, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; 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.