Jennifer Lynn Stanley, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA6095824 Issued in WA

Practice address

2902 164TH St SW Ste D1
Lynnwood, WA 98087-3201

Phone

(425) 745-2500

NPI assigned

Jul 25, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Lynn Donaldson Former name

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": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1043864259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CASCADE PL APT 208",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982333145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 164TH ST SW STE D1",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980873201",
            "telephone_number": "425-745-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA6095824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DONALDSON",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lloyd Edwin Stambaugh III, MD
• Sierra Jeneal Stamm, RD CD
• Savannah TV Stanciel, LSWAIC
• Adam Lynn Standley
• Stanley D Borish MD Inc PS
• Debra Anne Stark
• Sarah Stark
• Oleksandr P Stasyuk, D.P.D
• Statcare Staffing
• Maude Allene Stayton

• Massage Therapist in Lynnwood, WA
• Providers in Lynnwood, 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 25, 2019; 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.