KIM MICHEALLE BONNER SECUNDA (NPI# 1669615282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669615282 |
| Entity Type | Individual |
| Full Name | KIM MICHEALLE BONNER SECUNDA |
| Credential | LMP |
| Practice Address |
286 Enchanted Forest Rd Suite 201a Eastsound WA 98245 |
| Mailing Address |
25 Bonnie Brae Ln Eastsound WA 98245-9699 |
| Practice Telephone | 3603762512 |
| Mailing Telephone | 3603762510 |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2009-04-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 0000MA7736 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
286 ENCHANTED FOREST RD SUITE 201A |
| City | EASTSOUND |
| State | WA |
| Zip Code | 98245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942649082 | Sasheem Silkiss-hero | Marriage & Family Therapist | 286 Enchanted Forest Rd, Eastsound, WA 98245-9714 | 2013-06-21 |
| 1720327414 | Analisa Lee | Counselor | 286 Enchanted Forest Rd, Apt. C3, Eastsound, WA 98245-9714 | 2013-01-31 |
| 1093050213 | Brandon Burke Adams | Marriage & Family Therapist | 286 Enchanted Forest Rd, Suite 201a, Eastsound, WA 98245-9714 | 2012-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205197134 | Robin Myra Becker | Pharmacist | 68 North Beach Rd, Eastsound, WA 98245 | 2012-06-07 |
| 1689967184 | Che Blaine | Social Worker | 543 North Beach Road, Eastsound, WA 98245 | 2011-05-17 |
| 1760774905 | Christopher Glenn Wood | Dentist | 83 Mount Baker Rd, Eastsound, WA 98245 | 2011-05-06 |
| 1386951663 | Holly Caren Berman | Acupuncturist | 192 Rosehip Rd, Eastsound, WA 98245 | 2010-09-08 |
| 1396908182 | Michael Gerard Mele | Social Worker | 138 North Beach Rd, Eastsound, WA 98245 | 2008-07-02 |
| 1164617528 | Stacy Lutz | Acupuncturist | 141 Prune Alley, Suite 109, Eastsound, WA 98245 | 2007-09-10 |
| 1265634620 | Michael D. Triplett | Dentist | 445 Madrona St, Eastsound, WA 98245 | 2007-06-05 |
| 1043422983 | Islands Acupuncture, P.s | Acupuncturist | 453 North Beach Rd., Eastsound, WA 98245 | 2007-05-04 |
| 1891919353 | Family Tree Chiropractic, Pllc | Chiropractor | 33 Urner St. Unit #1, Eastsound, WA 98245 | 2007-04-13 |
| 1932227154 | San Juans Vision Care P.s. | Clinic/Center | 1286 Suite 106 B Mt Baker Road, Eastsound, WA 98245 | 2007-03-26 |
| Find all providers in zip 98245 | ||||
| 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 |
|---|---|---|---|---|
| 1972960847 | Cheryl Danskin | Massage Therapist | 918 Cedar Hill Rd, Eastsound, WA 98245-9683 | 2016-01-24 |
| 1326459504 | Christopher Evans | Massage Therapist | 453 N Beach Rd, Eastsound, WA 98245-8927 | 2014-05-09 |
| 1740571785 | Kimberly Marie Clancy | Massage Therapist | 365 N Beach Rd, Suite 103, Eastsound, WA 98245-8962 | 2011-04-26 |
| 1699160358 | Keely Scott | Massage Therapist | 453 N Beach Rd, Eastsound, WA 98245-8927 | 2015-03-31 |
| 1386970689 | Erin Quies | Massage Therapist | 453 North Beach Rd., Eastsound, WA 98245 | 2009-10-22 |
| 1972742401 | Chama Teresa Anderson | Massage Therapist | 141 Prune Alley, 113, Eastsound, WA 98245 | 2009-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346177 | Franco Garibaldi | Massage Therapist | 8120 378th Ave Se, Snoqualmie, WA 98065-9338 | 2020-11-06 |
| 1073114815 | Michael Paul Frietze | Massage Therapist | 519 Sw Cascade Ave, Chehalis, WA 98532-3213 | 2020-11-06 |
| 1417558305 | Madelyn Leigh Thomas | Massage Therapist | 2202 6th Ave, Tacoma, WA 98403-1049 | 2020-11-05 |
| 1912508094 | Catelyn Renee Wesley | Massage Therapist | 211 Marty Loop, Woodland, WA 98674-7223 | 2020-11-04 |
| 1154922250 | Wanju S Kellams | Massage Therapist | 677 Woodland Square Loop Se # A-8, Lacey, WA 98503-1000 | 2020-11-04 |
| 1417558743 | Erin Claire Stafford | Massage Therapist | 709 Nw 120th St, Vancouver, WA 98685-2495 | 2020-11-03 |
| 1063013332 | Andrea L Yu | Massage Therapist | 7207 265th St Nw Ste 102, Stanwood, WA 98292-6274 | 2020-11-03 |
| 1689274250 | Francine Marie Morales | Massage Therapist | 1320 Worrall Dr, Bremerton, WA 98310-3629 | 2020-10-31 |
| 1255931994 | Lotus Lounge Corporation | Massage Therapist | 200 Auburn Ave Ste 3, Auburn, WA 98002-5015 | 2020-10-30 |
| 1538769088 | Alison K Rostholder-harris | Massage Therapist | 1202 E Pine St Unit 101, Seattle, WA 98122-3929 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
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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.