Individual provider Active NPI

Brittani Meghan Williams, MA60796079

  • Massage Therapist
  • Kennewick, WA
National Provider Identifier
1932618865
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60796079 Issued in WA
Practice address
7514 W Yellowstone Ave
Kennewick, WA 99336-1101
Phone
(509) 783-7242
Fax
(509) 783-7286
NPI assigned
Sep 22, 2017
Last updated
Sep 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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 MA60796079 WA Primary

Addresses

Primary practice location

7514 W Yellowstone Ave
Kennewick, WA 99336-1101

Mailing address

83 Keene Rd
Richland, WA 99352-5006

Other identifiers 1

IdentifierTypeStateIssuer
MA60796079OtherWAMASSAGE

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
Master of Theology

State licenses

LicenseStateTypeSpecialty
MA60796079WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
C&L, LLC CurrentSince Sep 23, 2021 Accepting new patients
Evans Chiropractic P.S. PastSince Sep 23, 2021 Accepting new patients

Locations

7514 W Yellowstone Ave
Kennewick, WA 99336
Phone (509) 315-2845

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1932618865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 KEENE RD",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993525006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7514 W YELLOWSTONE AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361101",
            "telephone_number": "509-783-7242",
            "fax_number": "509-783-7286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BRITTANI",
        "middle_name": "MEGHAN",
        "credential": "MA60796079",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-22",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60796079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE",
            "identifier": "MA60796079",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.