Individual provider Active NPI

Brianna Margo Calkin, LMP

  • Massage Therapist
  • Silverdale, WA
National Provider Identifier
1023183936
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00017158 Issued in WA
Practice address
9220 Ridgetop Blvd NW Ste 100
Silverdale, WA 98383-8556
Phone
(360) 271-6232
Fax
(360) 308-0937
NPI assigned
Nov 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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 MA00017158 WA Primary

Addresses

Primary practice location

9220 Ridgetop Blvd NW Ste 100
Silverdale, WA 98383-8556

Mailing address

9220 Ridgetop Blvd NW Ste 100
Silverdale, WA 98383-8556
Phone (360) 271-6232

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
MA00017158WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1023183936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 RIDGETOP BLVD NW STE 100",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838556",
            "telephone_number": "360-271-6232",
            "fax_number": "360-308-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 RIDGETOP BLVD NW STE 100",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838556",
            "telephone_number": "360-271-6232",
            "fax_number": "360-308-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALKIN",
        "first_name": "BRIANNA",
        "middle_name": "MARGO",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-24",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00017158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.