Active NPI
Nancy Oliver, LMP
- Massage Therapist
- Mountlake Terrace, WA
National Provider Identifier
1154752822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT60390250
- Practice address
- 6601 220TH St SW
Ste 1
Mountlake Terrace, WA 98043-2166 - Phone
- (425) 775-7274
- NPI assigned
- Dec 6, 2013
- 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 | MT60390250 | WA | Primary |
Addresses
Primary practice location
6601 220TH St SW
Ste 1
Mountlake Terrace, WA 98043-2166
Mailing address
4626 Seahurst Ave
Everett, WA 98203-1714
Phone (541) 840-8461
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 |
|---|---|---|---|
| MT60390250 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386288000000",
"number": "1154752822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4626 SEAHURST AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982031714",
"telephone_number": "541-840-8461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6601 220TH ST SW",
"address_2": "STE 1",
"city": "MOUNTLAKE TERRACE",
"state": "WA",
"postal_code": "980432166",
"telephone_number": "425-775-7274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "NANCY",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-06",
"last_updated": "2013-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MT60390250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountlake Terrace, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.