Silkskyspa, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

SILKSKYSPA, LLC

Practice address

265 NW Franklin Ave Ste 203
Bend, OR 97703-2800

Phone

(541) 668-6095

NPI assigned

Jan 9, 2024

Organization subpart

No

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

Authorized official

Name

Nyama Jacobi, MD

Title

Medical Director/Owner

Phone

(541) 668-6096

Specialties & licenses 1

Addresses

Other names 1

• SILKSKYSPA, LLC Former legal business name

Locations

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1922879956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 NW FRANKLIN AVE STE 203",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032800",
            "telephone_number": "541-668-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 NW FRANKLIN AVE STE 203",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032800",
            "telephone_number": "541-668-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILKSKYSPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "JACOBI",
        "authorized_official_first_name": "NYAMA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "541-668-6096",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SILKSKYSPA, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "SILKSKYSPA, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Susan P Siefken, OT
• Georgene Christine Siemsen, GNP
• Signature Home Health Bend, LLC
• Signature Hospice Bend, LLC
• Quincey Matsue Sigona
• Gisela Rosa Silva
• Nicholas Silva, LMT, MMP,CA
• Ilana Silver, LCSW
• Kala Ray Silver, OTR/L
• Sarah Silverstein, MSW

• Health Service Clinic/Center in Bend, OR
• Providers in Bend, OR by specialty
• Health Service Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.