Active NPI
Jennifer Marie Enriques, LMT
- Massage Therapist
- Vancouver, WA
National Provider Identifier
1124707294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 60989884
- Practice address
- 2400 Broadway St
Vancouver, WA 98663-3229 - Phone
- (360) 868-7030
- NPI assigned
- Jul 14, 2023
- 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 | 60989884 | WA | Primary |
Addresses
Primary practice location
2400 Broadway St
Vancouver, WA 98663-3229
Mailing address
2400 Broadway St
Vancouver, WA 98663-3229
Phone (360) 868-7030
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 |
|---|---|---|---|
| 60989884 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1124707294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 BROADWAY ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986633229",
"telephone_number": "360-868-7030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 BROADWAY ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986633229",
"telephone_number": "360-868-7030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENRIQUES",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-14",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "60989884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.