NPIMap

Organization Active NPI

Elan, PLLC

  • Massage Therapist
  • Leavenworth, WA
National Provider Identifier
1043664402
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 60580382 Issued in WA
Legal business name
ELAN, PLLC
Practice address
833 Front St
Suite 43
Leavenworth, WA 98826-1378
Phone
(206) 276-0754
NPI assigned
Apr 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Heather Jane RobertsNPI 1275987877
Title
Owner/Manager
Phone
(206) 276-0754

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA 60580382 WA Primary

Addresses

Primary practice location

833 Front St
Suite 43
Leavenworth, WA 98826-1378

Mailing address

219 8TH St
Uppr
Leavenworth, WA 98826-1304
Phone (206) 276-0754

National Provider Directory

National Provider Directory

Locations

833 Front St
Ste 43
Leavenworth, WA 98826
Phone (206) 276-0754

219 8th St
Uppr
Leavenworth, WA 98826

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1043664402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 8TH ST",
            "address_2": "UPPR",
            "city": "LEAVENWORTH",
            "state": "WA",
            "postal_code": "988261304",
            "telephone_number": "206-276-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 FRONT ST",
            "address_2": "SUITE 43",
            "city": "LEAVENWORTH",
            "state": "WA",
            "postal_code": "988261378",
            "telephone_number": "206-276-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "206-276-0754"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60580382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leavenworth, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.