Individual provider Active NPI

Janel Lorette Gunderson, LMT

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1154989242
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60959719 Issued in WA
Practice address
5501 NE 109TH CT Ste L
Vancouver, WA 98662-6174
Phone
(360) 909-6476
NPI assigned
Jun 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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 MA60959719 WA Primary

Addresses

Primary practice location

5501 NE 109TH CT Ste L
Vancouver, WA 98662-6174

Mailing address

5501 NE 109TH CT Ste L
Vancouver, WA 98662-6174
Phone (360) 909-6476

Other practice location 1

15406 NE 87th St
Vancouver, WA 98682-3582
Phone (360) 909-6476

Other practice location 2

14313 NE 20th Ave Ste A114
Vancouver, WA 98686-1485
Phone (360) 909-6476

Other names 1

  • Janel Lorette Stylel Former name

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
MA60959719WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1154989242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 NE 109TH CT STE L",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626174",
            "telephone_number": "360-909-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 NE 109TH CT STE L",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626174",
            "telephone_number": "360-909-6476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15406 NE 87th St",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986823582",
            "country_code": "US",
            "telephone_number": "360-909-6476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14313 NE 20th Ave Ste A114",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986861485",
            "country_code": "US",
            "telephone_number": "360-909-6476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNDERSON",
        "first_name": "JANEL",
        "middle_name": "LORETTE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60959719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANEL",
            "last_name": "STYLEL",
            "middle_name": "LORETTE",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.