NPIMap

Individual provider Active NPI

Kevin Scott Bean, LMP, LBWP,

  • Massage Therapist
  • Mukilteo, WA
National Provider Identifier
1164697371
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
515898-06 Issued in WA
Practice address
11811 Mukilteo Speedway
Suite 200
Mukilteo, WA 98275-5442
Phone
(425) 348-4000
NPI assigned
Apr 29, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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 515898-06 WA Primary

Addresses

Primary practice location

11811 Mukilteo Speedway
Suite 200
Mukilteo, WA 98275-5442

Mailing address

1020 112 TH St SW
Apt# a-302
Everett, WASHINGTON 98204
UM
Phone (425) 350-4049

Other names 1

  • Mr. Kevin Scott Bean Professional 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
515898-06WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1164697371",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "1020 112 TH ST SW",
            "address_2": "APT# A-302",
            "city": "EVERETT",
            "state": "WASHINGTON",
            "postal_code": "98204",
            "telephone_number": "425-350-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11811 MUKILTEO SPEEDWAY",
            "address_2": "SUITE 200",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982755442",
            "telephone_number": "425-348-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAN",
        "first_name": "KEVIN",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "LMP, LBWP,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "515898-06",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEVIN",
            "last_name": "BEAN",
            "middle_name": "SCOTT",
            "prefix": "MR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mukilteo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.