NPIMap

Organization Active NPI

Serene Lake Massage Therapy

Doing business as Serene Massage

  • Specialist
  • Lynnwood, WA
National Provider Identifier
1114053790
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA000010193 Issued in WA
Legal business name
SERENE LAKE MASSAGE THERAPY
Doing business as
Serene Massage
Practice address
5521 186TH PL SW
Lynnwood, WA 98037-4325
Phone
(425) 776-3000
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Chad Eric Triplett, LMP
Title
President
Phone
(425) 776-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MA000010193 WA Primary

Addresses

Primary practice location

5521 186TH PL SW
Lynnwood, WA 98037-4325

Mailing address

5521 186TH PL SW
Lynnwood, WA 98037-4325
Phone (425) 776-3000

Other names 1

  • Serene Massage Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Serene Lake Massage Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5521 186th Pl SW
Lynnwood, WA 98037
Phone (425) 776-3000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1114053790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5521 186TH PL SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374325",
            "telephone_number": "425-776-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5521 186TH PL SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374325",
            "telephone_number": "425-776-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE LAKE MASSAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "TRIPLETT",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-776-3000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA000010193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serene Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.