Active NPI
Andrea Marie Abbott, LMP
- Massage Therapist
- Kirkland, WA
National Provider Identifier
1104961374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00009785
- Practice address
- 12628 NE 85TH St
Lakeview Chiropractic and Massage
Kirkland, WA 98033 - Phone
- (425) 827-0334
- Fax
- (425) 827-3572
- NPI assigned
- Feb 21, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | MA00009785 | WA | Primary |
Addresses
Primary practice location
12628 NE 85TH St
Lakeview Chiropractic and Massage
Kirkland, WA 98033
Mailing address
12628 NE 85TH St
Lakeview Chiropractic and Massage
Kirkland, WA 98033
Phone (425) 827-0334
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0150345 | Other | WA | L & I |
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 |
|---|---|---|---|
| MA00009785 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104961374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12628 NE 85TH ST",
"address_2": "LAKEVIEW CHIROPRACTIC AND MASSAGE",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "98033",
"telephone_number": "425-827-0334",
"fax_number": "425-827-3572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12628 NE 85TH ST",
"address_2": "LAKEVIEW CHIROPRACTIC AND MASSAGE",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "98033",
"telephone_number": "425-827-0334",
"fax_number": "425-827-3572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABBOTT",
"first_name": "ANDREA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00009785",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0150345",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, 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.