Individual provider Active NPI

Christine Ann Prokay, MSESS, BA, RA, LMT

  • Specialist
  • Juliaetta, ID
National Provider Identifier
1932348810
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA60064542 Issued in WA
Practice address
301 Main St
Juliaetta, ID 83535
Phone
(253) 241-3183
NPI assigned
Feb 17, 2009
Last updated
Feb 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA60064542 WA Primary
Kinesiotherapist 226300000X MAS-4903 ID

Addresses

Primary practice location

301 Main St
Juliaetta, ID 83535

Mailing address

15919 Buttercup LN
Juliaetta, ID 83535-6020
Phone (253) 241-3183

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
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
MA60064542WAMDSpecialist
MAS-4903IDMDKinesiotherapist

NPI Registry JSON

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1932348810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15919 BUTTERCUP LN",
            "city": "JULIAETTA",
            "state": "ID",
            "postal_code": "835356020",
            "telephone_number": "253-241-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MAIN ST",
            "city": "JULIAETTA",
            "state": "ID",
            "postal_code": "83535",
            "telephone_number": "253-241-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROKAY",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MSESS, BA, RA, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-17",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA60064542",
            "primary": true
        },
        {
            "code": "226300000X",
            "taxonomy_group": "",
            "desc": "Kinesiotherapist",
            "state": "ID",
            "license": "MAS-4903",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juliaetta, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.