Nina Edgerton, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00018529 Issued in WA

Practice address

2366 Eastlake Ave E
#425
Seattle, WA 98102-3366

Phone

(206) 818-5540

NPI assigned

Mar 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426291200000",
    "number": "1194841841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 25TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981123040",
            "telephone_number": "206-818-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2366 EASTLAKE AVE E",
            "address_2": "#425",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023366",
            "telephone_number": "206-818-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGERTON",
        "first_name": "NINA",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2015-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00018529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0143651",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele M Edelman, MSPT
• Monica Elena Edenholm, LMFTA, PA-C
• Sydnie Pauline Eder
• Justin Michael Edge
• Justin Adam Edgerton, CDPT
• Michelle Edgett, ARNP
• Edgewood Seattle Addiction Services
• Mia Edidin
• Janet Kay Edlefsen, M.S.
• Kerstin Lara Edlefsen, MD

• Massage Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2015; 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.