Individual provider Active NPI

Maria Zulema Ancira, LMP

  • Massage Therapist
  • Issaquah, WA
National Provider Identifier
1902018369
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
1505 NW Gilman Blvd Ste 8
Issaquah, WA 98027-5398
Phone
(425) 313-9222
Fax
(425) 313-9339
NPI assigned
May 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 WA Primary

Addresses

Primary practice location

1505 NW Gilman Blvd Ste 8
Issaquah, WA 98027-5398

Mailing address

1505 NW Gilman Blvd Ste 8
Issaquah, WA 98027-5398
Phone (425) 313-9222

Other identifiers 1

IdentifierTypeStateIssuer
0183218OtherWALABOR AND INDUSTRIES

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
MA000017576WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Banic Chiropractic Company 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": "1178323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902018369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 NW GILMAN BLVD STE 8",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275398",
            "telephone_number": "425-313-9222",
            "fax_number": "425-313-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 NW GILMAN BLVD STE 8",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275398",
            "telephone_number": "425-313-9222",
            "fax_number": "425-313-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANCIRA",
        "first_name": "MARIA",
        "middle_name": "ZULEMA",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0183218",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.