Individual provider Active NPI

Meriam Theresa Goff, MA60936473

  • Massage Therapist
  • Lynnwood, WA
National Provider Identifier
1124580436
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60936473 Issued in WA
Practice address
18927 33Rd Ave W Ste B
Lynnwood, WA 98036-4726
Phone
(425) 776-1177
NPI assigned
Apr 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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 MA60936473 WA Primary

Addresses

Primary practice location

18927 33Rd Ave W Ste B
Lynnwood, WA 98036-4726

Mailing address

4731 176TH St SW Apt K8
Lynnwood, WA 98037-3429
Phone (225) 454-7226

Other names 1

  • Meriam Theresa Goff Former 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

State licenses

LicenseStateTypeSpecialty
MA60936473WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1124580436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4731 176TH ST SW APT K8",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980373429",
            "telephone_number": "225-454-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18927 33RD AVE W STE B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364726",
            "telephone_number": "425-776-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOFF",
        "first_name": "MERIAM",
        "middle_name": "THERESA",
        "name_prefix": "Mrs.",
        "credential": "MA60936473",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60936473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERIAM",
            "last_name": "GOFF",
            "middle_name": "THERESA",
            "credential": "MA60936473",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Apr 4, 2019; 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.