NPIMap

Individual provider Active NPI

Summer Nicole Nordike

  • Massage Therapist
  • Gig Harbor, WA
National Provider Identifier
1043532724
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 60118973 Issued in WA
Practice address
4423 Point Fosdick Dr NW
Suite 310
Gig Harbor, WA 98335-1797
Phone
(253) 851-5900
Fax
(253) 851-5910
NPI assigned
Feb 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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 MA 60118973 WA Primary

Addresses

Primary practice location

4423 Point Fosdick Dr NW
Suite 310
Gig Harbor, WA 98335-1797

Mailing address

11708 132ND Avenue CT E
Puyallup, WA 98374-5000
Phone (253) 851-5900

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
MA 60118973WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Burki Chiropractic Center, Inc., PS Past 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": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1043532724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11708 132ND AVENUE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983745000",
            "telephone_number": "253-851-5900",
            "fax_number": "253-851-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 POINT FOSDICK DR NW",
            "address_2": "SUITE 310",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351797",
            "telephone_number": "253-851-5900",
            "fax_number": "253-851-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDIKE",
        "first_name": "SUMMER",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60118973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.