Krystal Tanis, MA60182498

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA 60182498 Issued in WA

Practice address

1836 25TH Ave NE
Issaquah, WA 98029-2613

Phone

(425) 427-0809

Fax

(425) 427-8619

NPI assigned

Jul 22, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

• Upton Chiropractic

  • Chiropractor
  • Issaquah, WA
  • NPI 1669779419
  NPD (past)

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1972945749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 25TH AVE NE",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980292613",
            "telephone_number": "425-427-0809",
            "fax_number": "425-427-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 25TH AVE NE",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980292613",
            "telephone_number": "425-427-0809",
            "fax_number": "425-427-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANIS",
        "first_name": "KRYSTAL",
        "credential": "MA60182498",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60182498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayna J Talley
• Michael H Tam, O.D.
• Vicky Wingkei Tam, LMT
• Tamura Arthun, a Professional Corporation
• Alice Hyun-Kyung Tan, MD
• Tanner & Tanner, PLLC
• Helen Elise Tanner, RDH, BS
• Robert E Tanner, D.D.S.
• Nancy Tapia
• Simon B Tapia, LMP

• Massage Therapist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.