Hannah Mackenzie Listle, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60152331 Issued in WA

Practice address

27525 Lindvog Rd NE
Kingston, WA 98346-9603

Phone

(360) 621-4080

NPI assigned

May 13, 2010

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 13, 2010.

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1003134172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27525 LINDVOG RD NE",
            "city": "KINGSTON",
            "state": "WA",
            "postal_code": "983469603",
            "telephone_number": "360-621-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27525 LINDVOG RD NE",
            "city": "KINGSTON",
            "state": "WA",
            "postal_code": "983469603",
            "telephone_number": "360-621-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISTLE",
        "first_name": "HANNAH",
        "middle_name": "MACKENZIE",
        "name_prefix": "Miss",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-13",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60152331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie A Leachman, PTA
• Eric Kenneth Lee, MD
• Renee Miller Lehr
• Mi Hwa Lim
• Scott Wayne Lindquist, MD MPH
• Malone Pediatrics
• Jamie Maloney, LMP
• Alisha Martinez
• Luke Bruce McDaniel, M.D.
• John McKeever

• All providers in Kingston, WA
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.