Elisabeth Grace Hacking, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

60690667 Issued in WA

Practice address

11930 Slater Ave NE Ste 201
Kirkland, WA 98034-4175

Phone

(425) 825-0255

NPI assigned

Jan 10, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mountain Sun Massage & Skin Care, LLC

  • Massage Therapist
  • Kirkland, WA
  • NPI 1841526233
  NPD (past)
• Mountain Sun Massage & Spa, Inc

  • Specialist
  • Kirkland, WA
  • NPI 1811019334
  NPD (past)

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1003323197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8231 207TH ST SE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982968088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11930 SLATER AVE NE STE 201",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344175",
            "telephone_number": "425-825-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKING",
        "first_name": "ELISABETH",
        "middle_name": "GRACE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "60690667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Guzman
• Katarina Guzman, ND, LMT
• H Lee Kilburn MD PS
• Cindy Ha
• Alicia Raylee Haagenson
• Lisa L Hackler, RN CWCN
• Shelley Smith Haddow, MSW
• Gayland Hade
• Michelle Hadi, D.O.
• Jeni Hagan, PHARMD

• Massage Therapist in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; 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.