Individual provider Active NPI

Nicholas Joel Easterday, LMT

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1093014433
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60201876 Issued in WA
Practice address
1814 E Jefferson St
Seattle, WA 98122-5744
Phone
(206) 588-6559
NPI assigned
Mar 24, 2011
Last updated
Jul 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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 MA60201876 WA Primary

Addresses

Primary practice location

1814 E Jefferson St
Seattle, WA 98122-5744

Mailing address

1814 E Jefferson St
Seattle, WA 98122-5744
Phone (206) 588-6559

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
MA60201876WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1093014433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 E JEFFERSON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225744",
            "telephone_number": "206-588-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 E JEFFERSON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225744",
            "telephone_number": "206-588-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTERDAY",
        "first_name": "NICHOLAS",
        "middle_name": "JOEL",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-24",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60201876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.