Active NPI
Camille J Knight
- Massage Therapist
- Edmonds, WA
National Provider Identifier
1154846079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60159932
- Practice address
- 22005 76TH Ave W
Edmonds, WA 98026-7905 - Phone
- (425) 776-3800
- Fax
- (425) 776-3844
- NPI assigned
- Aug 11, 2017
- Sex
- Female
- Sole proprietor
- No
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 | MA60159932 | WA | Primary |
Addresses
Primary practice location
22005 76TH Ave W
Edmonds, WA 98026-7905
Mailing address
22005 76TH Ave W
Edmonds, WA 98026-7905
Phone (425) 776-3800
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 |
|---|---|---|---|
| MA60159932 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health and Wellness Clinic PLLC | Current | Accepting new patients |
Locations
22005 76th Ave W
Edmonds, WA 98026
Phone (425) 670-9097
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Service Clinic/Center
- Edmonds, WA
- NPI 1033388772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627430400000",
"number": "1154846079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22005 76TH AVE W",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980267905",
"telephone_number": "425-776-3800",
"fax_number": "425-776-3844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22005 76TH AVE W",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980267905",
"telephone_number": "425-776-3800",
"fax_number": "425-776-3844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "CAMILLE",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-11",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60159932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.