Active NPI
Stacy Lynn Hopkins, LMT, RBT
- Massage Therapist
- Port Angeles, WA
National Provider Identifier
1205019544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00020047
- Practice address
- 816 E 8TH St
Port Angeles, WA 98362-6419 - Phone
- (360) 809-1614
- NPI assigned
- Dec 10, 2007
- Last updated
- Feb 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | MA00020047 | WA | Primary |
Addresses
Primary practice location
816 E 8TH St
Port Angeles, WA 98362-6419
Mailing address
PO Box 404
Port Angeles, WA 98362-0065
Phone (360) 809-1614
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 |
|---|---|---|---|
| MA00020047 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549324800000",
"number": "1205019544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 404",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983620065",
"telephone_number": "360-809-1614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "816 E 8TH ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983626419",
"telephone_number": "360-809-1614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOPKINS",
"first_name": "STACY",
"middle_name": "LYNN",
"credential": "LMT, RBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-10",
"last_updated": "2019-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00020047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.