Kenda Smith

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61305859 Issued in WA

Practice address

25 95TH Dr NE Ste 105
Lake Stevens, WA 98258-7976

Phone

(360) 441-1719

NPI assigned

May 24, 2022

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

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1992443527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 E SUNSET DR APT 206",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982265623",
            "telephone_number": "360-441-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 95TH DR NE STE 105",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982587976",
            "telephone_number": "360-441-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KENDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61305859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Grace Siemer, OTR/L; CLT
• Hiram Silva
• Emily Sims, SLP
• Danielle Skiles, M.A., L.M.H.C.A.
• Autumn Amber Slocum, MS, CCC-SLP
• Lisa Kae Smith
• Snohomish County Fire District 8
• Keyvan Sohrabi Anaraki, DDS, MMSC, MSD
• Casey Alan Somers, PA-C
• Yunjo Song

• Massage Therapist in Lake Stevens, WA
• Providers in Lake Stevens, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.