Individual provider Active NPI

Nereida Sanchez-Vizcarra

  • Massage Therapist
  • Kennewick, WA
National Provider Identifier
1932678356
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60882023 Issued in WA
Practice address
8131 W Klamath CT Ste H
Kennewick, WA 99336-5251
Phone
(509) 736-5456
Fax
(509) 735-9868
NPI assigned
Nov 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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 MA60882023 WA Primary

Addresses

Primary practice location

8131 W Klamath CT Ste H
Kennewick, WA 99336-5251

Mailing address

318 E 8TH Ave
Kennewick, WA 99336-5777
Phone (509) 736-5456

Other identifiers 1

IdentifierTypeStateIssuer
MA60882023OtherWAMASSAGE LICENSE

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
MA60882023WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1932678356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 E 8TH AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365777",
            "telephone_number": "509-736-5456",
            "fax_number": "509-735-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8131 W KLAMATH CT STE H",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365251",
            "telephone_number": "509-736-5456",
            "fax_number": "509-735-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ-VIZCARRA",
        "first_name": "NEREIDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60882023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE LICENSE",
            "identifier": "MA60882023",
            "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 Nov 14, 2018; 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.