Pamela Anne Johnson, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00004260 Issued in WA

Practice address

33605 SE Redmond Fall City Rd
MTN View Nutritional Healing Centre
Fall City, WA 98024

Phone

(425) 222-4118

NPI assigned

Sep 27, 2006

Last updated

May 7, 2009By the provider in NPPES

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241654400000",
    "number": "1205927118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BX 236",
            "city": "FALL CITY",
            "state": "WA",
            "postal_code": "98024",
            "telephone_number": "425-222-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33605 SE REDMOND FALL CITY RD",
            "address_2": "MTN VIEW NUTRITIONAL HEALING CENTRE",
            "city": "FALL CITY",
            "state": "WA",
            "postal_code": "98024",
            "telephone_number": "425-222-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PAMELA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2009-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00004260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "SI3888",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Merritt Elizabeth Glennon, LMHCA
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• Rockwell Hammond Jr., DMD
• Heavensfield Group, LLC
• Courtney Hunter, LMHCA
• Randy Gordon Johnson, RPH
• King County Fire Prot Dist 27 (King County Fire District #27 - Fall City)
• Kathryn Larsson, MSW
• Genesis Latham
• Tory Lincoln, PH.D.

• Massage Therapist in Fall City, WA
• Providers in Fall City, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; 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.