Active NPI
Andrea Lynn Neathery, LMP
- Massage Therapist
- Aberdeen, WA
National Provider Identifier
1205959236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 400 West Wishkah St
Aberdeen, WA 98520 - Phone
- (360) 533-6920
- Fax
- (360) 533-8005
- NPI assigned
- Apr 6, 2007
- 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 | WA | Primary |
Addresses
Primary practice location
400 West Wishkah St
Aberdeen, WA 98520
Mailing address
PO Box 849
Cosmopolis, WA 98537
Phone (360) 580-9928
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0103252 | Other | L & I | |
| 225969100000 | Other | PREMERA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KM Stamwitz PLLC | Past | Accepting new patients |
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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185321600000",
"number": "1205959236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 849",
"city": "COSMOPOLIS",
"state": "WA",
"postal_code": "98537",
"telephone_number": "360-580-9928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 WEST WISHKAH ST",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "98520",
"telephone_number": "360-533-6920",
"fax_number": "360-533-8005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEATHERY",
"first_name": "ANDREA",
"middle_name": "LYNN",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2007-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0103252",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREMERA",
"identifier": "225969100000",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Aberdeen, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.