Individual provider Active NPI

Morgan McKenna-Robinson

  • Massage Therapist
  • Renton, WA
National Provider Identifier
1104177799
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60295954 Issued in WA
Practice address
16810 108TH Ave SE
Renton, WA 98055-5413
Phone
(425) 227-0111
Fax
(425) 228-2583
NPI assigned
Sep 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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 MA60295954 WA Primary

Addresses

Primary practice location

16810 108TH Ave SE
Renton, WA 98055-5413

Mailing address

16810 108TH Ave SE
Renton, WA 98055-5413
Phone (425) 227-0111

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
MA60295954WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sherwood Family Chiropractic, P.S. PastSince May 1, 2008 Accepting new patients

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": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1104177799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16810 108TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555413",
            "telephone_number": "425-227-0111",
            "fax_number": "425-228-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16810 108TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555413",
            "telephone_number": "425-227-0111",
            "fax_number": "425-228-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA-ROBINSON",
        "first_name": "MORGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-24",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60295954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

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