Active NPI
Nicole Marie Stuart
- Massage Therapist
- Snohomish, WA
National Provider Identifier
1063704286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60218579
- Practice address
- 1207 13TH St
Suite G
Snohomish, WA 98290-2000 - Phone
- (360) 568-3121
- NPI assigned
- May 5, 2011
- 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 | MA60218579 | WA | Primary |
Addresses
Primary practice location
1207 13TH St
Suite G
Snohomish, WA 98290-2000
Mailing address
24928 144TH PL SE
Monroe, WA 98272-9635
Phone (425) 345-0033
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 |
|---|---|---|---|
| MA60218579 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Pain Relief Clinic, PS | 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 and National Provider Directory roles.
-
- Chiropractor
- Snohomish, WA
- NPI 1083896468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304553600000",
"number": "1063704286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24928 144TH PL SE",
"city": "MONROE",
"state": "WA",
"postal_code": "982729635",
"telephone_number": "425-345-0033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1207 13TH ST",
"address_2": "SUITE G",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982902000",
"telephone_number": "360-568-3121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUART",
"first_name": "NICOLE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-05",
"last_updated": "2011-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60218579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Snohomish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.