Individual provider Active NPI

Joelle Marie Benoit Brekhus, LMP

  • Massage Therapist
  • Ephrata, WA
National Provider Identifier
1003020850
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00019749 Issued in WA
Practice address
1519 Basin St SW
Ephrata, WA 98823-2135
Phone
(509) 754-2461
Fax
(509) 754-2462
NPI assigned
May 10, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MA00019749 WA Primary

Addresses

Primary practice location

1519 Basin St SW
Ephrata, WA 98823-2135

Mailing address

519 1St Ave SW
Ephrata, WA 98823-1804
Phone (509) 754-6387

Other identifiers 1

IdentifierTypeStateIssuer
0190967OtherWAL&I

Other names 1

  • Joelle Marie Benoit Former name

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
MA00019749WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Tashauna Devine PLLC PastSince Apr 8, 2019 Accepting new patients
William B Davis Inc PS PastSince Dec 1, 2011 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003020850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 1ST AVE SW",
            "city": "EPHRATA",
            "state": "WA",
            "postal_code": "988231804",
            "telephone_number": "509-754-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 BASIN ST SW",
            "city": "EPHRATA",
            "state": "WA",
            "postal_code": "988232135",
            "telephone_number": "509-754-2461",
            "fax_number": "509-754-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENOIT BREKHUS",
        "first_name": "JOELLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00019749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0190967",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOELLE",
            "last_name": "BENOIT",
            "middle_name": "MARIE",
            "credential": "LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ephrata, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.