Active NPI
Jamie Christina Talley
- Massage Therapist
- Montesano, WA
National Provider Identifier
1164087896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 60934875
- Practice address
- 325 S Main Street
Suite B
Montesano, WA 98563 - Phone
- (360) 470-3511
- NPI assigned
- May 8, 2019
- 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 | 60934875 | WA | Primary |
Addresses
Primary practice location
325 S Main Street
Suite B
Montesano, WA 98563
Mailing address
30 McIntyre Rd
Elma, WA 98541-9358
Phone (360) 470-3511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA60934875 | Other | WA | STATE OF WASHINGTON |
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 |
|---|---|---|---|
| 60934875 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739404800000",
"number": "1164087896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 MCINTYRE RD",
"city": "ELMA",
"state": "WA",
"postal_code": "985419358",
"telephone_number": "360-470-3511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 S MAIN STREET",
"address_2": "SUITE B",
"city": "MONTESANO",
"state": "WA",
"postal_code": "98563",
"telephone_number": "360-470-3511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALLEY",
"first_name": "JAMIE",
"middle_name": "CHRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-08",
"last_updated": "2025-02-13",
"certification_date": "2025-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "60934875",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF WASHINGTON",
"identifier": "MA60934875",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montesano, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.