Individual provider Active NPI

Sandra Jasmine Whiley, LMP, CLT

  • Massage Therapist
  • Sequim, WA
National Provider Identifier
1114143401
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
522 N 5TH Ave
Sequim, WA 98382-3079
Phone
(360) 990-9511
Fax
(360) 208-0604
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

522 N 5TH Ave
Sequim, WA 98382-3079

Mailing address

16520 N Park Ave N
Shoreline, WA 98133-5323
Phone (206) 280-1851

Other practice location 1

11911 NE 132nd St Ste 101
Kirkland, WA 98034-2900
Phone (425) 814-8300

Other practice location 2

1611 116th Ave NE Ste 200
Bellevue, WA 98004-3064
Phone (425) 455-0088

Other identifiers 1

IdentifierTypeStateIssuer
602106531OtherWAUBI NUMBER

Other names 1

  • Sandra Jasmine Whiley Professional name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Therapy Solutions NW, Inc Single Specialty Current Accepting new patients
Monroe Therapeutic Massage PS Single Specialty Past Accepting new patients

Organizations & group practices 2

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114143401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16520 N PARK AVE N",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981335323",
            "telephone_number": "206-280-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N 5TH AVE",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823079",
            "telephone_number": "360-990-9511",
            "fax_number": "360-208-0604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11911 NE 132nd St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980342900",
            "country_code": "US",
            "telephone_number": "425-814-8300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1611 116th Ave NE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980043064",
            "country_code": "US",
            "telephone_number": "425-455-0088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHILEY",
        "first_name": "SANDRA",
        "middle_name": "JASMINE",
        "name_prefix": "Ms.",
        "credential": "LMP, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBI NUMBER",
            "identifier": "602106531",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "WHILEY",
            "middle_name": "JASMINE",
            "credential": "LMP, CLT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sequim, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.