Active NPI
Alena A Klimenko, LMP
- Specialist
- Everett, WA
National Provider Identifier
1942571880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA60247270
- Practice address
- 12811 8TH- Ave W
Suite B-103
Everett, WA 98204 - Phone
- (206) 478-7093
- Fax
- (425) 822-2920
- NPI assigned
- Jan 24, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60247270 | WA | |
| Specialist | 174400000X | MA60247270 | WA | Primary |
Addresses
Primary practice location
12811 8TH- Ave W
Suite B-103
Everett, WA 98204
Mailing address
8303 21St St NE
Lake Stevens, WA 98258
Phone (206) 478-7093
Other names 1
- Alena Trifonova Kempf (Current Name)
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 |
|---|---|---|---|
| MA60247270 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434412800000",
"number": "1942571880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8303 21ST ST NE",
"city": "LAKE STEVENS",
"state": "WA",
"postal_code": "98258",
"telephone_number": "206-478-7093",
"fax_number": "425-822-2920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12811 8TH- AVE W",
"address_2": "SUITE B-103",
"city": "EVERETT",
"state": "WA",
"postal_code": "98204",
"telephone_number": "206-478-7093",
"fax_number": "425-822-2920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLIMENKO",
"first_name": "ALENA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-24",
"last_updated": "2015-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60247270",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA60247270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALENA",
"last_name": "KEMPF (CURRENT NAME)",
"middle_name": "TRIFONOVA",
"credential": "LMP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.