Active NPI
Amanda Grimes, L.M.P.
- Massage Therapist
- Walla Walla, WA
National Provider Identifier
1063857027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60368164
- Practice address
- 214 E Birch St
Suite 5
Walla Walla, WA 99362-3043 - Phone
- (509) 440-1494
- Fax
- (509) 769-0999
- NPI assigned
- May 5, 2013
- 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 | MA60368164 | WA | Primary |
Addresses
Primary practice location
214 E Birch St
Suite 5
Walla Walla, WA 99362-3043
Mailing address
214 E Birch St
Suite 5
Walla Walla, WA 99362-3043
Phone (509) 440-1494
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 |
|---|---|---|---|
| MA60368164 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393200000000",
"number": "1063857027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 E BIRCH ST",
"address_2": "SUITE 5",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993623043",
"telephone_number": "509-440-1494",
"fax_number": "509-769-0999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 E BIRCH ST",
"address_2": "SUITE 5",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993623043",
"telephone_number": "509-440-1494",
"fax_number": "509-769-0999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMES",
"first_name": "AMANDA",
"credential": "L.M.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-05",
"last_updated": "2014-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60368164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walla Walla, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.