Active NPI
Kathryn Anne Mackey, L.M.P.
- Massage Therapist
- Bellevue, WA
National Provider Identifier
1962520551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00007297
- Practice address
- 15615 Bel Red Rd Ste a
Bellevue, WA 98008-2300 - Phone
- (425) 883-0133
- NPI assigned
- Mar 26, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00007297 | WA | Primary |
Addresses
Primary practice location
15615 Bel Red Rd Ste a
Bellevue, WA 98008-2300
Mailing address
15615 Bel Red Rd Ste a
Bellevue, WA 98008-2300
Phone (425) 883-0133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0105603 | Other | WA | LABOR & INDUSTRIES |
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 |
|---|---|---|---|
| MA00007297 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas Wayne PLLC | Past | Accepting new patients | |
| Zynergy Chiropractic | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962520551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15615 BEL RED RD STE A",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980082300",
"telephone_number": "425-883-0133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15615 BEL RED RD STE A",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980082300",
"telephone_number": "425-883-0133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKEY",
"first_name": "KATHRYN",
"middle_name": "ANNE",
"credential": "L.M.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00007297",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "0105603",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.