Active NPI
Jaime Lynn Schneider, MASS.MA60558674
- Massage Therapist
- Bellingham, WA
National Provider Identifier
1205338225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MASS.MA60558674
- Practice address
- 1209 11TH St
Bellingham, WA 98225-7078 - Phone
- (360) 739-6803
- NPI assigned
- Mar 6, 2018
- Last updated
- Apr 3, 2018
- 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 | MASS.MA60558674 | WA | Primary |
Addresses
Primary practice location
1209 11TH St
Bellingham, WA 98225-7078
Mailing address
200 E Maple St Apt 506
Bellingham, WA 98225-5172
Phone (360) 739-6803
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MASS.MA60558674 | Other | WA | LMT |
Other names 1
- Jaime Lynn Bodven
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 |
|---|---|---|---|
| MASS.MA60558674 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522713600000",
"number": "1205338225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E MAPLE ST APT 506",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982255172",
"telephone_number": "360-739-6803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1209 11TH ST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982257078",
"telephone_number": "360-739-6803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNEIDER",
"first_name": "JAIME",
"middle_name": "LYNN",
"credential": "MASS.MA60558674",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-06",
"last_updated": "2018-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MASS.MA60558674",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMT",
"identifier": "MASS.MA60558674",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JAIME",
"last_name": "BODVEN",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.