Individual provider Active NPI

Kendra Marie Jones, LMP

  • Massage Therapist
  • Lynnwood, WA
National Provider Identifier
1083848626
Registry record updated May 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00024648 Issued in WA
Practice address
1332 164TH St SW
Suite 401
Lynnwood, WA 98087-8513
Phone
(425) 742-7772
Fax
(425) 742-9001
NPI assigned
May 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2009

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 MA00024648 WA Primary

Addresses

Primary practice location

1332 164TH St SW
Suite 401
Lynnwood, WA 98087-8513

Mailing address

1332 164TH St SW
Suite 401
Lynnwood, WA 98087-8513
Phone (425) 742-7772

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
MA00024648WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Chiropractic Center, PLLC PastSince May 1, 2002 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.

NPI Registry JSON

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242000000000",
    "number": "1083848626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 164TH ST SW",
            "address_2": "SUITE 401",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980878513",
            "telephone_number": "425-742-7772",
            "fax_number": "425-742-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 164TH ST SW",
            "address_2": "SUITE 401",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980878513",
            "telephone_number": "425-742-7772",
            "fax_number": "425-742-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KENDRA",
        "middle_name": "MARIE",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-11",
        "last_updated": "2009-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00024648",
            "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 May 11, 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.

Verify at the official NPI Registry.