CENTURY MASSAGE & BODYWORK, INC (NPI# 1205004777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205004777 |
| Entity Type | Organization |
| Organization Name | CENTURY MASSAGE & BODYWORK, INC |
| Other Organization Name | CENTURY MASSAGE |
| Practice Address |
15 S Grady Way Suite Ll25 Renton WA 98057-3220 |
| Practice Telephone | 4252285217 |
| Practice Fax Number | 4252714189 |
| Mailing Telephone | 4252285217 |
| Mailing Fax Number | 4252714189 |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2017-03-02 |
| Authorized Official Name | MISS LYN FRIGILLANA YANCHA (OWNER) |
| Authorized Official Telephone | 4252285217 |
| Authorized Official Credential | LMP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA00012942 | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | ACS PROVIDER NUMBER / OWCP | 620389900 | 01 |
| WA | WA STATE DEPT OF L&I | 54-0196702 | 01 |
| Other Name | Type Code |
|---|---|
| Century Massage | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CENTURY MASSAGE & BODYWORK, INC | 15 S Grady Way Ste Ll25, Renton, WA 98057-3218 |
| Washington State Corporations | CENTURY MASSAGE & BODYWORK, INC. | 15 S Grady Way #ll-a, Renton, WA 98055 |
| Street Address |
15 S GRADY WAY SUITE LL25 |
| City | RENTON |
| State | WA |
| Zip Code | 98057-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447234091 | Nora Hadley-meenk | Social Worker | 15 S Grady Way, Renton, WA 98055-3209 | 2005-12-06 |
| 1750866463 | Krista Elizabeth Merca | Marriage & Family Therapist | 15 S Grady Way, Renton, WA 98057-3220 | 2018-09-27 |
| 1093254351 | Alfred Ocampo | Counselor | 15 S Grady Way, 249, Renton, WA 98057-3220 | 2017-02-20 |
| 1366893547 | Elizabeth Franklin | Marriage & Family Therapist | 15 S Grady Way, Suite 500, Renton, WA 98057-3220 | 2016-06-28 |
| 1114390580 | Maureen Elizabeth Mccarthy-koth | Counselor | 15 S Grady Way, Suite 249, Renton, WA 98057-3220 | 2015-11-07 |
| 1255724845 | Family Therapy and Recovery | Community/Behavioral Health | 15 S Grady Way, Suite 249, Renton, WA 98057-3220 | 2015-03-06 |
| 1093111205 | Family Therapy & Recovery P.s. | Clinic/Center | 15 S Grady Way, Ste. 249, Renton, WA 98057-3220 | 2014-11-16 |
| 1831458736 | Victoria Ann White | Counselor | 15 S Grady Way, Suite Ll-24, Renton, WA 98057-3220 | 2012-05-11 |
| 1255606356 | Hayward Coleman Jr. | Counselor | 15 S Grady Way, Suite 533, Renton, WA 98057-3220 | 2012-03-21 |
| 1457624934 | Coleman's Family Services | Case Management | 15 S Grady Way, Suite 533, Renton, WA 98057-3220 | 2012-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856628 | Megan Ramaiya | Student in an Organized Health Care Education/Training Program | King Count Sexual Assault & Resource Center, 200 Mill Ave S # 10, Renton, WA 98057 | 2019-11-19 |
| 1063076255 | Breanne Michele Smiley | Specialist/Technologist | 737 Logan Ave N, Renton, WA 98057 | 2019-04-24 |
| 1093215063 | Laura Lewis | Physical Medicine & Rehabilitation | 1000 Oakesdale Ave Sw Ste 100, Renton, WA 98057 | 2018-02-16 |
| 1437676004 | Ralph William Papke Jr. | Counselor | Kaiser Permanente of Wa, 1200 Sw 27th St, Renton, WA 98057 | 2017-08-24 |
| 1487106456 | Serengeti Care Partners LLC | Community/Behavioral Health | 707 S- Grady Way, Suite 6008, Renton, WA 98057 | 2016-10-26 |
| 1548716152 | Phandinh Ngoc Nguyen | Naturopath | 330 Sw 43rd St,suite L, Renton, WA 98057 | 2016-09-01 |
| 1275905721 | Todd R Glass | Chiropractor | 1024 N 10th Pl #2306, Renton, WA 98057 | 2015-10-23 |
| 1134595341 | Have A Heart | Case Management | 151 Taylor Ave Nw, Renton, WA 98057 | 2015-08-12 |
| 1780087171 | Brianne N Lefferts | Physical Therapist | 300 Sw 7th Street, Renton, WA 98057 | 2014-09-30 |
| 1588089460 | Sound Association Western Washington LLC | Audiologist | 108 Factory Ave. N., Ste 2b, Renton, WA 98057 | 2014-02-28 |
| Find all providers in zip 98057 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073940474 | Margarette Adelina Gagnon | Specialist | 110 Williams Ave S, Apt 305, Renton, WA 98057-5436 | 2013-09-30 |
| 1194150615 | Kelsey Maher | Specialist | 1208 Lincoln Pl Ne, Renton, WA 98056-2854 | 2013-09-04 |
| 1316216583 | Sarajane Priscilla Huff | Specialist | 2311 Ne 27th St, Renton, WA 98056-2234 | 2011-12-17 |
| 1699042358 | Tia Maumi Ballard | Specialist | 200 Sw 41st St Ste 100, Renton, WA 98057-4917 | 2011-11-23 |
| 1841589587 | Jennifer Marie Stoudt | Specialist | 318 Garden Ave N, Renton, WA 98057-5729 | 2011-04-04 |
| 1558668400 | Pain Associates of Washington Pllc | Specialist | 4300 Talbot Rd S Ste 200, Renton, WA 98055-6238 | 2011-02-11 |
| 1326340456 | Tabatha Burris | Specialist | 14410 Petrovistsky Rd Se #109, Renton, WA 98058 | 2010-11-22 |
| 1750536918 | Mitchael Gordon Welch | Specialist | 862 Aberdeen Ave Ne, Renton, WA 98056-2856 | 2008-12-01 |
| 1770746422 | Frank Fung Pllc | Specialist | 4033 Talbot Rd S Ste 430, Renton, WA 98055-5700 | 2008-07-02 |
| 1285812115 | Jennifer Loveless | Specialist | 19932 101st Ave Se, Renton, WA 98055-7306 | 2008-02-01 |
| Find all providers in RENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.