Active NPI
Alexandra C Van Housen, MA 61096188
- Massage Therapist
- Spokane, WA
National Provider Identifier
1063013597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA61096188
- Practice address
- 3209 E 57TH Ave Ste H
Spokane, WA 99223-7040 - Phone
- (509) 448-9398
- NPI assigned
- Nov 2, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA61096188 | WA | Primary |
Addresses
Primary practice location
3209 E 57TH Ave Ste H
Spokane, WA 99223-7040
Mailing address
800 W 1St St Apt 4G
Cheney, WA 99004-8993
Phone (509) 992-8132
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA61096188 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604275200000",
"number": "1063013597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 W 1ST ST APT 4G",
"city": "CHENEY",
"state": "WA",
"postal_code": "990048993",
"telephone_number": "509-992-8132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3209 E 57TH AVE STE H",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992237040",
"telephone_number": "509-448-9398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN HOUSEN",
"first_name": "ALEXANDRA",
"middle_name": "C",
"credential": "MA 61096188",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-02",
"last_updated": "2020-11-02",
"certification_date": "2020-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA61096188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.