Karynn Andrea Mackinnon, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60212905 Issued in WA

Practice address

1906 Broadway St
Vancouver, WA 98663-3325

Phone

(503) 764-8660

Fax

(360) 953-8307

NPI assigned

May 9, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1093007155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 NE HAZEL DELL AVE",
            "address_2": "233",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633803",
            "telephone_number": "503-764-8660",
            "fax_number": "360-953-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 BROADWAY ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633325",
            "telephone_number": "503-764-8660",
            "fax_number": "360-953-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKINNON",
        "first_name": "KARYNN",
        "middle_name": "ANDREA",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-09",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60212905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Mackay
• Kristin Mackenzie, DC
• William R Mackenzie, PT
• Jon C Mackey, OTR/L
• Taija Mackey
• Jaymie Felice Mackler, N.D., L.AC.
• Randall M Maclean, LCSW,
• Marla Jean Macleod-Martin, RDA,EFDA CERTIFIED
• Aimee Macmahon
• William R Macmaster Jr., MD

• Massage Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.