Elizabeth Dawn Smith, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60217697 Issued in WA

Practice address

4418 S 170TH St
Seatac, WA 98188-3252

Phone

(206) 661-6053

NPI assigned

Oct 26, 2012

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 names 1

• Mrs. Elizabeth Dawn Edson Other name

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": "1351209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1104179290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4418 S 170TH ST",
            "city": "SEATAC",
            "state": "WA",
            "postal_code": "981883252",
            "telephone_number": "206-661-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4418 S 170TH ST",
            "city": "SEATAC",
            "state": "WA",
            "postal_code": "981883252",
            "telephone_number": "206-661-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELIZABETH",
        "middle_name": "DAWN",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60217697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "EDSON",
            "middle_name": "DAWN",
            "prefix": "MRS.",
            "credential": "LMP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Erin Ann Sitterley, CCCSLP
• Gloria Sjol
• Karen M Smiley, RN
• Sylvia Namweruka Smith
• Virginia Lee Smith
• Soar Health Care LLC
• Michelle Solomon, LICSW
• Natalie Dianne Spangenberg, LMFTA

• Massage Therapist in Seatac, WA
• Providers in Seatac, 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 26, 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.