Active NPI
Emily Gonzales, LMT
- Massage Therapist
- Vancouver, WA
National Provider Identifier
1023873304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 27500
- Practice address
- 601 Main St Ste 209&210
Vancouver, WA 98660-3402 - Phone
- (360) 558-8166
- Fax
- (360) 583-3523
- NPI assigned
- Feb 16, 2024
- Last updated
- Feb 16, 2024
- 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 | 27500 | OR | Primary |
Addresses
Primary practice location
601 Main St Ste 209&210
Vancouver, WA 98660-3402
Mailing address
4607 NE 128TH Ave
Vancouver, WA 98682-6426
Phone (360) 558-8166
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 |
|---|---|---|---|
| 27500 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1023873304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4607 NE 128TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986826426",
"telephone_number": "360-558-8166",
"fax_number": "360-583-3523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 MAIN ST STE 209&210",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986603402",
"telephone_number": "360-558-8166",
"fax_number": "360-583-3523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "EMILY",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-16",
"last_updated": "2024-02-16",
"certification_date": "2024-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "27500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.