Individual provider Active NPI

Nancy Oleen, LMT

  • Massage Therapist
  • Kirkland, WA
National Provider Identifier
1073354874
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61438477 Issued in WA
Practice address
345 Kirkland Ave
Kirkland, WA 98033-6221
Phone
(425) 307-4018
NPI assigned
Jun 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA61438477 WA Primary

Addresses

Primary practice location

345 Kirkland Ave
Kirkland, WA 98033-6221

Mailing address

15518 119TH Ave NE
Bothell, WA 98011-4116

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

LicenseStateTypeSpecialty
MA61438477WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Rehabilitation PLLC PastSince Jun 9, 2024 Accepting new patients
Summit Rehabilitation PLLC PastSince Jun 9, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1073354874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15518 119TH AVE NE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980114116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 KIRKLAND AVE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336221",
            "telephone_number": "425-307-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLEEN",
        "first_name": "NANCY",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61438477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.