Individual provider Active NPI

Maria I Carvajal, LMP

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1992129506
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60404030 Issued in WA
Practice address
2705 NE 65TH St
Seattle, WA 98115-7129
Phone
(206) 523-9000
Fax
(206) 523-5566
NPI assigned
Feb 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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 MA60404030 WA Primary

Addresses

Primary practice location

2705 NE 65TH St
Seattle, WA 98115-7129

Mailing address

2705 NE 65TH St
Seattle, WA 98115-7129
Phone (206) 523-9000

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
MA60404030WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindbody Medicine PC Massage Therapist PastSince May 15, 2018 Accepting new patients
Tacoma Chiropractic Center LLC PastSince Jul 24, 2022 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": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1992129506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 NE 65TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981157129",
            "telephone_number": "206-523-9000",
            "fax_number": "206-523-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 NE 65TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981157129",
            "telephone_number": "206-523-9000",
            "fax_number": "206-523-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVAJAL",
        "first_name": "MARIA",
        "middle_name": "I",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-18",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60404030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.