Individual provider Active NPI

Karrisa Jean Wessa, LMP

  • Massage Therapist
  • Battle Ground, WA
National Provider Identifier
1114262730
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60060120 Issued in WA
Practice address
119 S Parkway Ave
Ste 101
Battle Ground, WA 98604-5499
Phone
(360) 666-1300
NPI assigned
Dec 7, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2012

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 MA60060120 WA Primary

Addresses

Primary practice location

119 S Parkway Ave
Ste 101
Battle Ground, WA 98604-5499

Mailing address

17817 NE 201St St
Battle Ground, WA 98604-3634
Phone (360) 450-9376

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
MA60060120WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Water Lily Therapeutic Massage & Sauna LLC Massage Therapist PastSince Jan 14, 2024 Accepting new patients

Organizations & group practices 1

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": "1354838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1114262730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17817 NE 201ST ST",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986043634",
            "telephone_number": "360-450-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S PARKWAY AVE",
            "address_2": "STE 101",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986045499",
            "telephone_number": "360-666-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESSA",
        "first_name": "KARRISA",
        "middle_name": "JEAN",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-07",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60060120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Ground, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.