Individual provider Active NPI

Jaylin Marie Lewis, LMT

  • Massage Therapist
  • Tacoma, WA
National Provider Identifier
1194328120
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61112658 Issued in WA
Practice address
601 S Pine St
Tacoma, WA 98405-2793
Phone
(253) 396-1000
NPI assigned
Nov 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 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 MA61112658 WA Primary

Addresses

Primary practice location

601 S Pine St
Tacoma, WA 98405-2793

Mailing address

3788 E Q St
Tacoma, WA 98404-4671
Phone (253) 970-4269

Other identifiers 1

IdentifierTypeStateIssuer
MA61112658OtherWAWASHINGTON DEPARTMENT OF HEALTH

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Tacoma
Other URL Tacoma

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
MA61112658WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tacoma Chiropractic Health Connection PastSince Nov 22, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1194328120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3788 E Q ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984044671",
            "telephone_number": "253-970-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S PINE ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052793",
            "telephone_number": "253-396-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JAYLIN",
        "middle_name": "MARIE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61112658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON DEPARTMENT OF HEALTH",
            "identifier": "MA61112658",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Tacoma",
            "affiliation": "N",
            "address_1": "601 S Pine St",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984052793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Tacoma",
            "affiliation": "N",
            "address_1": "601 S Pine St",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984052793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

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