Individual provider Active NPI

Jennifer Lynn Trunkey, LMP

  • Massage Therapist
  • Spokane Valley, WA
National Provider Identifier
1003117326
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 60183767 Issued in WA
Practice address
404 N Pines Rd
Suite B
Spokane Valley, WA 99206-5290
Phone
(509) 951-3201
NPI assigned
Nov 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2014

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 MA 60183767 WA Primary

Addresses

Primary practice location

404 N Pines Rd
Suite B
Spokane Valley, WA 99206-5290

Mailing address

404 N Pines Rd
Suite B
Spokane Valley, WA 99206-5290
Phone (509) 951-3201

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
MA 60183767WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1003117326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 N PINES RD",
            "address_2": "SUITE B",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992065290",
            "telephone_number": "509-951-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N PINES RD",
            "address_2": "SUITE B",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992065290",
            "telephone_number": "509-951-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUNKEY",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-03",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60183767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.