Jackie Ruth Dupont, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61080198 Issued in WA

Practice address

1905 Queen Anne Ave N
Seattle, WA 98109-2500

Phone

(206) 282-8275

Fax

(206) 282-8784

NPI assigned

Jul 20, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Queen Anne Chiropractic Inc, P.S.

  • Chiropractor
  • Seattle, WA
  • NPI 1821267659
  NPD
• Queen Anne Chiropractic PS

  • Chiropractor
  • Seattle, WA
  • NPI 1922260165
  NPD (past)

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1033727623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 QUEEN ANNE AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092500",
            "telephone_number": "206-282-8275",
            "fax_number": "206-282-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 QUEEN ANNE AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092500",
            "telephone_number": "206-282-8275",
            "fax_number": "206-282-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPONT",
        "first_name": "JACKIE",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61080198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.queenannechiro.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "none",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website only",
            "address_1": "1905 Queen Anne Ave N",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981092500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelly Duong
• Ngoc Vy Duong, PHARMD
• Phuong Thuy Duong, MD
• Stephen Duong
• Andrew Steven Duplantis
• Terri Dupper-Knoper, PMHNP
• Jaryn Dupree
• Olivia K Dupree, MS CCC-SLP
• Daniel Dupuis, DDS
• Shameara Suzette Dupuy, LMT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.