Individual provider Active NPI

Sarah Wilson, LMT

  • Specialist
  • Chewelah, WA
National Provider Identifier
1215319900
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA60319442 Issued in WA
Practice address
103 E Main Ave
Chewelah, WA 99109-8960
Phone
(509) 935-2225
Fax
(509) 935-2273
NPI assigned
Jun 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60319442 WA
Specialist 174400000X MA60319442 WA Primary

Addresses

Primary practice location

103 E Main Ave
Chewelah, WA 99109-8960

Mailing address

101 N Baker St TRLR 31
Chewelah, WA 99109-9287
Phone (509) 866-3233

Other practice location 1

8606 N Wall St Ste 200
Spokane, WA 99218-2034
Phone (509) 489-1544

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

LicenseStateTypeSpecialty
MA60319442WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Champion Family Chiropractic, CurrentSince Apr 6, 2023 Accepting new patients

Locations

103 E Main Ave
Chewelah, WA 99109
Phone (509) 935-2225

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1215319900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N BAKER ST TRLR 31",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991099287",
            "telephone_number": "509-866-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E MAIN AVE",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991098960",
            "telephone_number": "509-935-2225",
            "fax_number": "509-935-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8606 N Wall St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992182034",
            "country_code": "US",
            "telephone_number": "509-489-1544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SARAH",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60319442",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA60319442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chewelah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.