Active NPI
Heather Kay Bryan, L.M.P
- Massage Therapist
- Lynnwood, WA
National Provider Identifier
1063662500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 60026533
- Practice address
- 19009 33Rd Ave W
Suite 205
Lynnwood, WA 98036-4717 - Phone
- (425) 776-8787
- NPI assigned
- Sep 21, 2008
- Last updated
- Sep 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 60026533 | WA | Primary |
Addresses
Primary practice location
19009 33Rd Ave W
Suite 205
Lynnwood, WA 98036-4717
Mailing address
2031 208TH St SW
Lynnwood, WA 98036-7912
Phone (425) 771-6233
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 |
|---|---|---|---|
| 60026533 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M Jay Campbell D C P S | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Lynnwood, WA
- NPI 1912030149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221955200000",
"number": "1063662500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2031 208TH ST SW",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980367912",
"telephone_number": "425-771-6233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19009 33RD AVE W",
"address_2": "SUITE 205",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980364717",
"telephone_number": "425-776-8787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYAN",
"first_name": "HEATHER",
"middle_name": "KAY",
"credential": "L.M.P",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-21",
"last_updated": "2008-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "60026533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.