JESSICA ANN MALYEVAC (NPI# 1457907818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457907818 |
| Entity Type | Individual |
| Full Name | JESSICA ANN MALYEVAC |
| Practice Address |
15 S Grady Way Ste Ll25 Renton WA 98057-3218 |
| Mailing Address |
22606 114th Ave Se Kent WA 98031-2647 |
| Practice Telephone | 4252285217 |
| Mailing Telephone | 2535087542 |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60977601 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WASHINGTON STATE DEPARTMENT OF HEALTH | MA60977601 | 01 |
| Street Address |
15 S GRADY WAY STE LL25 |
| City | RENTON |
| State | WA |
| Zip Code | 98057-3218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184040636 | Rain Field Counseling & Consulting Inc. | Counselor | 15 S Grady Way Ste Ll25, Renton, WA 98057-3218 | 2014-03-07 |
| 1235782343 | Summer Ohlhausen | Massage Therapist | 15 S Grady Way Ste Ll25, Renton, WA 98057-3218 | 2019-07-17 |
| 1497255483 | Samuel Robert Foshay | Massage Therapist | 15 S Grady Way Ste Ll25, Renton, WA 98057-3218 | 2018-02-15 |
| 1376064949 | Marianne Yancha Valmonte | Massage Therapist | 15 S Grady Way Ste Ll25, Renton, WA 98057-3218 | 2017-07-04 |
| 1164969580 | Lyn Frigillana Yancha | Massage Therapist | 15 S Grady Way Ste Ll25, Renton, WA 98057-3218 | 2017-01-24 |
| 1225454705 | Andrew Winstead | Counselor | 15 S Grady Way Ste Ll25, Renton, WA 98057-3218 | 2014-03-08 |
| 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 | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003429291 | Jill Rupp | Massage Therapist | 2100 Lake Washington Blvd N Apt K101, Renton, WA 98056-1455 | 2020-08-26 |
| 1538702394 | Ashi Empire Barefoot Massage | Massage Therapist | 16720 116th Ave Se Ste 5, Renton, WA 98058-5277 | 2019-10-24 |
| 1528610680 | Mark Gerhardt Schambers | Massage Therapist | 665 Bremerton Ave Ne, Renton, WA 98059-4747 | 2019-07-09 |
| 1982269114 | Jeffrey Frank Wasmer | Massage Therapist | 4808 Ne Sunset Blvd Apt B106, Renton, WA 98059-4283 | 2019-05-02 |
| 1669036554 | Ariana Feline Wren | Massage Therapist | 11314 Se 162nd St, Renton, WA 98055-5230 | 2019-04-25 |
| 1669959318 | Kewen Chen | Massage Therapist | 14024 163rd Pl Se, Renton, WA 98059-3662 | 2018-07-25 |
| 1992295703 | Celeste Marie Sage-tate | Massage Therapist | 15 S Grady Way Ste Ll19, Renton, WA 98057-3230 | 2018-05-16 |
| 1912496456 | Lashanda Mccurdy | Massage Therapist | 401 Olympia Avenue Ne, Renton, WA 98056 | 2018-05-09 |
| 1356855522 | Miguel Angel Banos | Massage Therapist | 3000 Ne 4th St., Renton, WA 98188 | 2017-11-27 |
| 1194237784 | Jie Yang | Massage Therapist | 19313 133rd Pl Se, Renton, WA 98058-7700 | 2017-11-03 |
| 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.