Active NPI
Jodie L Waner, L.M.P.
- Massage Therapist
- Spokane, WA
National Provider Identifier
1194007997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 60243875
- Practice address
- 3209 E 57TH Ave Ste H
Spokane, WA 99223-7040 - Phone
- (509) 448-9398
- NPI assigned
- Sep 16, 2011
- 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 | 60243875 | Primary |
Addresses
Primary practice location
3209 E 57TH Ave Ste H
Spokane, WA 99223-7040
Mailing address
2922 N Willow Rd
Spokane, WA 99206-4374
Phone (509) 590-7197
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1267960 | Other | WA | AMTA INSURANCE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316131200000",
"number": "1194007997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2922 N WILLOW RD",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992064374",
"telephone_number": "509-590-7197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3209 E 57TH AVE STE H",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992237040",
"telephone_number": "509-448-9398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANER",
"first_name": "JODIE",
"middle_name": "L",
"credential": "L.M.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-16",
"last_updated": "2011-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": "60243875",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMTA INSURANCE",
"identifier": "1267960",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.