Individual provider Active NPI

Stephanie Heringer, LMP

  • Massage Therapist
  • Mukilteo, WA
National Provider Identifier
1013148287
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00023036 Issued in WA
Practice address
8004 Mukilteo Speedway
Suite 1
Mukilteo, WA 98275-2653
Phone
(425) 353-1011
Fax
(425) 353-1033
NPI assigned
Aug 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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 MA00023036 WA Primary

Addresses

Primary practice location

8004 Mukilteo Speedway
Suite 1
Mukilteo, WA 98275-2653

Mailing address

23500 39TH Ave W
Brier, WA 98036-8278
Phone (425) 770-7015

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
MA00023036WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mukilteo Chiropractic Clinic, PLLC PastSince Feb 3, 2012 Accepting new patients

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": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249430400000",
    "number": "1013148287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23500 39TH AVE W",
            "city": "BRIER",
            "state": "WA",
            "postal_code": "980368278",
            "telephone_number": "425-770-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8004 MUKILTEO SPEEDWAY",
            "address_2": "SUITE 1",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982752653",
            "telephone_number": "425-353-1011",
            "fax_number": "425-353-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERINGER",
        "first_name": "STEPHANIE",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00023036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mukilteo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.