Organization Active NPI

Tammy Richert, LMP

  • Clinic/Center
  • Battle Ground, WA
National Provider Identifier
1083998850
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MA00008409 Issued in WA
Legal business name
TAMMY RICHERT, LMP
Practice address
1710 W Main St Ste 218
Battle Ground, WA 98604-4318
Phone
(360) 903-8742
NPI assigned
Sep 28, 2011
Last updated
Sep 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Authorized official

Name
Mrs. Tammy Lou Richert, LMP
Title
Massage Therapist
Phone
(360) 903-8742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MA00008409 WA Primary

Addresses

Primary practice location

1710 W Main St Ste 218
Battle Ground, WA 98604-4318

Mailing address

1710 W Main St Ste 218
Battle Ground, WA 98604-4318
Phone (360) 903-8742

Other identifiers 1

IdentifierTypeStateIssuer
1700839180OtherWANPI TYPE 1

National Provider Directory

National Provider Directory

Locations

1710 W Main St
Ste 218
Battle Ground, WA 98604
Phone (360) 771-1177

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1083998850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 W MAIN ST STE 218",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044318",
            "telephone_number": "360-903-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 W MAIN ST STE 218",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044318",
            "telephone_number": "360-903-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMMY RICHERT, LMP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "RICHERT",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "360-903-8742",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "MA00008409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1700839180",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Ground, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.

Verify at the official NPI Registry.