Nellie Wilson, LMT, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60349569 Issued in WA

Practice address

520 E Whidbey Ave
Suite 101
Oak Harbor, WA 98277-5922

Phone

(503) 936-2061

Fax

(503) 296-2447

NPI assigned

Apr 16, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Nellie Griess Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1194041020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SW SWANTOWN AVE",
            "address_2": "APT #4",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982777184",
            "telephone_number": "503-936-2061",
            "fax_number": "503-296-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E WHIDBEY AVE",
            "address_2": "SUITE 101",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775922",
            "telephone_number": "503-936-2061",
            "fax_number": "503-296-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "NELLIE",
        "name_prefix": "Mrs.",
        "credential": "LMT, LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-16",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60349569",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "16594",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NELLIE",
            "last_name": "GRIESS",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Scott Hyde Williams, O.D.
• Rachael Williamson, RBT
• Mikayla Willis
• Allyson Noelle Willson
• Carly N Wilson
• Derek Thomas Wirth, DMD
• Douglas Lee Wirth, DMD
• Jared M Wirth, DMD
• Frank Gino Wolfe
• Terrence C. Wong, MD

• Massage Therapist in Oak Harbor, WA
• Providers in Oak Harbor, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; 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.