Active NPI
Elizabeth Ann Tsouprake, LMP
- Massage Therapist
- Bellevue, WA
National Provider Identifier
1124288311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00024973
- Practice address
- 15100 SE 38TH St Ste 3058
Bellevue, WA 98006-1728 - Phone
- (425) 289-0092
- Fax
- (425) 289-0095
- NPI assigned
- Jun 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | MA00024973 | WA | Primary |
Addresses
Primary practice location
15100 SE 38TH St Ste 3058
Bellevue, WA 98006-1728
Mailing address
17211 429TH Ave SE
North Bend, WA 98045-9350
Phone (425) 292-0494
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 |
|---|---|---|---|
| MA00024973 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1124288311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17211 429TH AVE SE",
"city": "NORTH BEND",
"state": "WA",
"postal_code": "980459350",
"telephone_number": "425-292-0494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15100 SE 38TH ST STE 3058",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980061728",
"telephone_number": "425-289-0092",
"fax_number": "425-289-0095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSOUPRAKE",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-11",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00024973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.