Carmen Andrea Som, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60301063 Issued in WA

Practice address

3164 Monterey Dr
Malaga, WA 98828-9731

Phone

(360) 393-0578

Fax

(509) 884-2363

NPI assigned

Sep 15, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carmen Andrea Anderson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Biggar Chiropractic Center PS

  • Clinic/Center
  • Wenatchee, WA
  • NPI 1538398581
  NPD (past)
• Johnston Chiropractic Center, Inc P.S.

  • Chiropractor
  • Wenatchee, WA
  • NPI 1831238245
  NPD (past)

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1972904449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 9TH ST.",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988011503",
            "telephone_number": "360-393-0578",
            "fax_number": "509-662-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3164 MONTEREY DR",
            "city": "MALAGA",
            "state": "WA",
            "postal_code": "988289731",
            "telephone_number": "360-393-0578",
            "fax_number": "509-884-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOM",
        "first_name": "CARMEN",
        "middle_name": "ANDREA",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60301063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "ANDERSON",
            "middle_name": "ANDREA",
            "credential": "LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Krky Developments LLC
• Liminal Art and Psychotherapy, LLC
• Amanda Jean Smith

• All providers in Malaga, WA
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.