Individual provider Active NPI

Heather Kuzminski, LMP

  • Massage Therapist
  • Poulsbo, WA
National Provider Identifier
1093930372
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00012807 Issued in WA
Practice address
20307 Viking Ave NW Ste 102
Poulsbo, WA 98370-8321
Phone
(360) 697-3737
Fax
(360) 779-6337
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MA00012807 WA Primary

Addresses

Primary practice location

20307 Viking Ave NW Ste 102
Poulsbo, WA 98370-8321

Mailing address

20307 Viking Ave NW Ste 102
Poulsbo, WA 98370-8321
Phone (360) 697-3737

Other names 1

  • Heather Adams Professional 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

State licenses

LicenseStateTypeSpecialty
MA00012807WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093930372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20307 VIKING AVE NW STE 102",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708321",
            "telephone_number": "360-697-3737",
            "fax_number": "360-779-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20307 VIKING AVE NW STE 102",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708321",
            "telephone_number": "360-697-3737",
            "fax_number": "360-779-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZMINSKI",
        "first_name": "HEATHER",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00012807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "ADAMS",
            "credential": "LMP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Poulsbo, WA

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.

Verify at the official NPI Registry.