Individual provider Active NPI

Julie Marie Smith, LMP

  • Massage Therapist
  • Spokane Valley, WA
National Provider Identifier
1144406141
Registry record updated Jan 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00025086 Issued in WA
Practice address
826 N Mullan Rd
Suite #B
Spokane Valley, WA 99206-4094
Phone
(509) 928-8550
Fax
(509) 928-8592
NPI assigned
Jan 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2008

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 MA00025086 WA Primary

Addresses

Primary practice location

826 N Mullan Rd
Suite #B
Spokane Valley, WA 99206-4094

Mailing address

826 N Mullan Rd
Suite #B
Spokane Valley, WA 99206-4094
Phone (509) 928-8550

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
MA00025086WAMDMassage Therapist

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24072/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200873600000",
    "number": "1144406141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 N MULLAN RD",
            "address_2": "SUITE #B",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064094",
            "telephone_number": "509-928-8550",
            "fax_number": "509-928-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 N MULLAN RD",
            "address_2": "SUITE #B",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064094",
            "telephone_number": "509-928-8550",
            "fax_number": "509-928-8592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JULIE",
        "middle_name": "MARIE",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-21",
        "last_updated": "2008-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00025086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.

Verify at the official NPI Registry.