Individual provider Active NPI

Andrea Marie Abbott, LMP

  • Massage Therapist
  • Kirkland, WA
National Provider Identifier
1104961374
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00009785 Issued in WA
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

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 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

IdentifierTypeStateIssuer
0150345OtherWAL & 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

LicenseStateTypeSpecialty
MA00009785WAMDMassage 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.

Verify at the official NPI Registry.