Individual provider Active NPI

Jaymie Noelle Sprague, LMT

  • Massage Therapist
  • East Wenatchee, WA
National Provider Identifier
1003316688
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60823097 Issued in WA
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

Updated by the provider on Aug 1, 2024

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 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

IdentifierTypeStateIssuer
MA60823097OtherWAMASSAGE

Other names 1

  • Jaymie Noelle Bolander 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
MA60823097WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hurst Chiropractic, P.C. CurrentSince Mar 13, 2022 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.

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.

Verify at the official NPI Registry.