Active NPI
Charity L. Willis, LMP
- Massage Therapist
- Yakima, WA
National Provider Identifier
1922174101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00021144
- Practice address
- 611 S 48TH Ave
B
Yakima, WA 98908-3614 - Phone
- (509) 952-3455
- Fax
- (509) 469-1905
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | MA00021144 | WA | Primary |
Addresses
Primary practice location
611 S 48TH Ave
B
Yakima, WA 98908-3614
Mailing address
PO Box 8051
Yakima, WA 98908-0051
Phone (509) 469-1903
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0206031 | Other | WA | WA LABOR & INDUSTRIES |
Other names 1
- Charity L. Willis-Cousins
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA00021144 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273017600000",
"number": "1922174101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8051",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989080051",
"telephone_number": "509-469-1903",
"fax_number": "509-469-1905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 S 48TH AVE",
"address_2": "B",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989083614",
"telephone_number": "509-952-3455",
"fax_number": "509-469-1905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIS",
"first_name": "CHARITY",
"middle_name": "L.",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2010-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00021144",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA LABOR & INDUSTRIES",
"identifier": "0206031",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHARITY",
"last_name": "WILLIS-COUSINS",
"middle_name": "L.",
"credential": "LMP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Yakima, WA
- Scott A.D. Williams, D.D.S.
- Taylor Williams
- Trisha Williams, LMHC
- Chelsea Willimas
- Bruce Willis, DDS, MS
- Willow Springs Care (Willow Springs Care and Rehabilitation)
- Willow Springs SNF Operations LLC (Apple Valley Health & Rehabilitation)
- Casey Wilsey, LMT
- Stephanie Wilske, LMP
- Douglas C Wilson, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.