Individual provider Active NPI

Andrea L Bickford, L.M.P.

  • Massage Therapist
  • Kennewick, WA
National Provider Identifier
1083974760
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00018713 Issued in WA
Practice address
8901 W Tucannon Ave Ste 160
Kennewick, WA 99336-7213
Phone
(509) 579-5999
Fax
(509) 834-7407
NPI assigned
May 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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 MA00018713 WA Primary

Addresses

Primary practice location

8901 W Tucannon Ave Ste 160
Kennewick, WA 99336-7213

Mailing address

8901 W Tucannon Ave Ste 160
Kennewick, WA 99336-7213
Phone (509) 579-5999

Other identifiers 1

IdentifierTypeStateIssuer
17OtherWAMASSAGE THERAPIST

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
Credentials
Master of Theology

State licenses

LicenseStateTypeSpecialty
MA00018713WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BS Chiropractic Inc CurrentSince Apr 24, 2022 Accepting new patients
Chiro One Wellness Center of Arlington PLLC PastSince Jan 17, 2022 Accepting new patients
Arlington Family Chiropractic PLLC PastSince Aug 1, 2004 Accepting new patients

Locations

8901 W Tucannon Ave
Ste 160
Kennewick, WA 99336
Phone (509) 430-7141

Organizations & group practices 3

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": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1083974760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 W TUCANNON AVE STE 160",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367213",
            "telephone_number": "509-579-5999",
            "fax_number": "509-834-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 W TUCANNON AVE STE 160",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367213",
            "telephone_number": "509-579-5999",
            "fax_number": "509-834-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKFORD",
        "first_name": "ANDREA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "L.M.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00018713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST",
            "identifier": "17",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.