Individual provider Active NPI

Jessica Renee Sanchez-Harper, LMT

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1093030041
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MP60939879 Issued in WA
Practice address
2200 Broadway St Ste C
Vancouver, WA 98663-3255
Phone
(360) 859-9794
Fax
(360) 785-2387
NPI assigned
Apr 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 16232 OR
Massage Therapist 225700000X MP60939879 WA Primary

Addresses

Primary practice location

2200 Broadway St Ste C
Vancouver, WA 98663-3255

Mailing address

2200 Broadway St Ste C
Vancouver, WA 98663-3255
Phone (360) 859-9794

Other names 1

  • Jessica Renee Malabanan Former name

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
16232ORMDMassage Therapist
MP60939879WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rose Rock Bodywork Massage Therapist CurrentSince Sep 15, 2019 Accepting new patients

Locations

2200 Broadway St
Ste C
Vancouver, WA 98663
Phone (360) 326-5288

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": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1093030041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 BROADWAY ST STE C",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633255",
            "telephone_number": "360-859-9794",
            "fax_number": "360-785-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BROADWAY ST STE C",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633255",
            "telephone_number": "360-859-9794",
            "fax_number": "360-785-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ-HARPER",
        "first_name": "JESSICA",
        "middle_name": "RENEE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "16232",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MP60939879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MALABANAN",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.