Active NPI
Jeanne Kaye Forshaw, LMP
- Massage Therapist
- Port Orchard, WA
National Provider Identifier
1093910465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00014436
- Practice address
- 2427 Bethel Rd SE
Port Orchard, WA 98366-2438 - Phone
- (360) 874-2727
- Fax
- (360) 874-7952
- NPI assigned
- Jun 18, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00014436 | WA | Primary |
Addresses
Primary practice location
2427 Bethel Rd SE
Port Orchard, WA 98366-2438
Mailing address
3000 Ruby CT SE
Port Orchard, WA 98366-2313
Phone (360) 895-3231
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142678 | Other | WA | LABOR AND INDUSTRY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA00014436 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093910465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 RUBY CT SE",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983662313",
"telephone_number": "360-895-3231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2427 BETHEL RD SE",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983662438",
"telephone_number": "360-874-2727",
"fax_number": "360-874-7952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORSHAW",
"first_name": "JEANNE",
"middle_name": "KAYE",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00014436",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRY",
"identifier": "142678",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Orchard, WA
- Fly True Midwifery LLC
- Holly Sue Flynn, LMP
- Rebekah Foelker
- Joella Elizabeth Folk Pettigrew, D.C., LM
- Stephanie S Forsberg, L.M.P.
- Fiaer Foster, BSCHONS
- Found Therapy Services, PLLC
- Franciscan Medical Group (FMG-Kitsap Urology Associates)
- Franciscan Medical Group (Port Orchard Medical Clinic)
- Franciscan Medical Group (Franciscan Medical Clinic - Port Orchard)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.