Ellen L Fitch

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

61131314 Issued in WA

Practice address

7422 Decatur PL
Anacortes, WA 98221-8907

Phone

(206) 818-9087

NPI assigned

Nov 7, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1043855620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7422 DECATUR PL",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982218907",
            "telephone_number": "206-818-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7422 DECATUR PL",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982218907",
            "telephone_number": "206-818-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITCH",
        "first_name": "ELLEN",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "61131314",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "031214",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY LICENSE",
            "identifier": "61131314",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY LICENSE",
            "identifier": "031214",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fidalgo Pharmacy Services, Inc (Medicap Pharmacy)
• Fidalgo Sports and Physiatry
• Dana Marie Fischer, MA00024010
• Janet Fischer, LSWAA
• Vicki Fishfader
• Kelly Allison Fitzgerald, M.S.
• Alethea Fleming, N.D.
• Nadine Foist, MD
• Keith Harrison Ford
• Dean Alister Forsythe Sr., LMHC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.