Active NPI
Kerry Murray, LMT
- Massage Therapist
- Poulsbo, WA
National Provider Identifier
1063529329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00019054
- Practice address
- 19245 7TH Ave NE
Poulsbo, WA 98370-6551 - Phone
- (360) 782-3500
- NPI assigned
- Aug 24, 2006
- 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 | MA00019054 | WA | Primary |
Addresses
Primary practice location
19245 7TH Ave NE
Poulsbo, WA 98370-6551
Mailing address
2512 Wheaton Way
Bremerton, WA 98310-3399
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 219463 | Other | WA | LABOR & INDUSTRIES |
| 8918MU | Other | REGENCE BLUESHIELD | |
| 7722889 | Other | AETNA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA00019054 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256860800000",
"number": "1063529329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2512 WHEATON WAY",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983103399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19245 7TH AVE NE",
"city": "POULSBO",
"state": "WA",
"postal_code": "983706551",
"telephone_number": "360-782-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "KERRY",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2009-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00019054",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "219463",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUESHIELD",
"identifier": "8918MU",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7722889",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poulsbo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.