Active NPI
Azaria K Davis Johnson
- Massage Therapist
- Enumclaw, WA
National Provider Identifier
1144730490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60752921
- Practice address
- 145 Michael Ave
Enumclaw, WA 98022-3753 - Phone
- (206) 388-8895
- NPI assigned
- Oct 1, 2017
- 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 | MA60752921 | WA | Primary |
Addresses
Primary practice location
145 Michael Ave
Enumclaw, WA 98022-3753
Mailing address
145 Michael Ave
Enumclaw, WA 98022-3753
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 |
|---|---|---|---|
| MA60752921 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506816000000",
"number": "1144730490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 MICHAEL AVE",
"city": "ENUMCLAW",
"state": "WA",
"postal_code": "980223753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 MICHAEL AVE",
"city": "ENUMCLAW",
"state": "WA",
"postal_code": "980223753",
"telephone_number": "206-388-8895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS JOHNSON",
"first_name": "AZARIA",
"middle_name": "K",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-01",
"last_updated": "2017-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60752921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enumclaw, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.