Dianna Fennessey, L.M.P.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00017053 Issued in WA

Practice address

415 SE 177TH Ave
Vancouver, WA 98683-4201

Phone

(360) 980-5414

NPI assigned

Jun 1, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243814400000",
    "number": "1154557486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2952 NW IVY LN",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077958",
            "telephone_number": "360-833-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 SE 177TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986834201",
            "telephone_number": "360-980-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNESSEY",
        "first_name": "DIANNA",
        "credential": "L.M.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-01",
        "last_updated": "2009-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00017053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Felker
• Carina Felsch
• Alexa Nicole Feltz
• Zizhen Feng, M.D., PHD
• Kelly Marie Fenimore, LMHC
• Katie Elora Fenton
• Karen Ferandes, RC
• Mehdi S Ferdows, MD, PHD
• Jacqueline Marie Ferdowsali, A.G.A.C.N.P
• Kameron Ferdowsali, M.D.

• Massage Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.