Active NPI
Tracy L. Ling, MA00006668
- Massage Therapist
- Chewelah, WA
National Provider Identifier
1124679089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00006668
- Practice address
- 202 S 2ND St W
Chewelah, WA 99109-5112 - Phone
- (360) 318-5055
- NPI assigned
- Sep 23, 2019
- Last updated
- Sep 23, 2019
- 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 | MA00006668 | WA | Primary |
Addresses
Primary practice location
202 S 2ND St W
Chewelah, WA 99109-5112
Mailing address
PO Box 1181
Chewelah, WA 99109-1181
Phone (360) 318-5055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA00006668 | Other | WA | LICENSED MASSAGE THERAPIST |
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 |
|---|---|---|---|
| MA00006668 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569196800000",
"number": "1124679089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1181",
"city": "CHEWELAH",
"state": "WA",
"postal_code": "991091181",
"telephone_number": "360-318-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 S 2ND ST W",
"city": "CHEWELAH",
"state": "WA",
"postal_code": "991095112",
"telephone_number": "360-318-5055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LING",
"first_name": "TRACY",
"middle_name": "L.",
"credential": "MA00006668",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-23",
"last_updated": "2019-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00006668",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED MASSAGE THERAPIST",
"identifier": "MA00006668",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chewelah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.