Active NPI
Jaymie Noelle Sprague, LMT
- Massage Therapist
- East Wenatchee, WA
National Provider Identifier
1003316688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60823097
- Practice address
- 1120 Grant Rd
East Wenatchee, WA 98802-5243 - Phone
- (509) 884-7163
- Fax
- (509) 884-2363
- NPI assigned
- Feb 20, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60823097 | WA | Primary |
Addresses
Primary practice location
1120 Grant Rd
East Wenatchee, WA 98802-5243
Mailing address
2500 NW Cascade Ave
East Wenatchee, WA 98802-3932
Phone (509) 885-8328
Other practice location 1
2500 NW Cascade Ave
East Wenatchee, WA 98802-3932
Phone (509) 885-8328
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA60823097 | Other | WA | MASSAGE |
Other names 1
- Jaymie Noelle Bolander
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA60823097 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hurst Chiropractic, P.C. | Current | Accepting new patients |
Locations
1120 Grant Rd
East Wenatchee, WA 98802
Phone (509) 884-7163
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- East Wenatchee, WA
- NPI 1013965888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1003316688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 NW CASCADE AVE",
"city": "EAST WENATCHEE",
"state": "WA",
"postal_code": "988023932",
"telephone_number": "509-885-8328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 GRANT RD",
"city": "EAST WENATCHEE",
"state": "WA",
"postal_code": "988025243",
"telephone_number": "509-884-7163",
"fax_number": "509-884-2363"
}
],
"practiceLocations": [
{
"address_1": "2500 NW Cascade Ave",
"address_purpose": "LOCATION",
"city": "East Wenatchee",
"state": "WA",
"postal_code": "988023932",
"country_code": "US",
"telephone_number": "509-885-8328",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPRAGUE",
"first_name": "JAYMIE",
"middle_name": "NOELLE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-20",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60823097",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE",
"identifier": "MA60823097",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JAYMIE",
"last_name": "BOLANDER",
"middle_name": "NOELLE",
"credential": "LMT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in East Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.