Kelly Lyn Beckett, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA13222 Issued in WA

Practice address

7525 Chico Way NW
Bremerton, WA 98312-1039

Phone

(360) 710-7359

Fax

(360) 692-7127

NPI assigned

Apr 11, 2007

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

Other identifiers 1

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1093938607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 CHICO WAY NW",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983121039",
            "telephone_number": "360-710-7359",
            "fax_number": "360-692-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 CHICO WAY NW",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983121039",
            "telephone_number": "360-710-7359",
            "fax_number": "360-692-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKETT",
        "first_name": "KELLY",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA13222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0164135",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber J Beck, MSW
• Heather Beck
• Lori Ann Beck, PTA
• Amy Maria Becken, AU.D., CCC-A
• Michael R. Becker, D.D.S., M. D.
• Angelina Beecham
• Sarah Beth Begley, PA-C
• Karla Bekenyi
• Margaret Esther Belanger, OTA/L
• Anders Bell

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.