Active NPI
Krystin Marie Olson
- Massage Therapist
- Bellevue, WA
National Provider Identifier
1194329128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA61080574
- Practice address
- 13219 NE 20TH St Ste 206
Bellevue, WA 98005-2020 - Phone
- (425) 679-6198
- NPI assigned
- Nov 30, 2020
- 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 | MA61080574 | WA | Primary |
Addresses
Primary practice location
13219 NE 20TH St Ste 206
Bellevue, WA 98005-2020
Mailing address
13219 NE 20TH St Ste 206
Bellevue, WA 98005-2020
Phone (425) 679-6198
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 |
|---|---|---|---|
| MA61080574 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jade Oasis PLLC | Massage Therapist | Current | Accepting new patients |
Locations
13219 NE 20th St
Ste 206
Bellevue, WA 98005
Phone (425) 679-6198
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1194329128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13219 NE 20TH ST STE 206",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980052020",
"telephone_number": "425-679-6198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13219 NE 20TH ST STE 206",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980052020",
"telephone_number": "425-679-6198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "KRYSTIN",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-30",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA61080574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.