Yan Jiang, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61206780 Issued in WA

Practice address

1508 Broadway St
Vancouver, WA 98663-3434

Phone

(360) 635-3477

Fax

(844) 682-7291

NPI assigned

Sep 26, 2022

Last updated

Sep 26, 2022By 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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• At Vancouver Massage, LLC

  dba At Vancouver Massage

  • Massage Therapist
  • Vancouver, WA
  • NPI 1164926374
  NPD

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1215651047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 BROADWAY ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633434",
            "telephone_number": "360-635-3477",
            "fax_number": "844-682-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 BROADWAY ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633434",
            "telephone_number": "360-635-3477",
            "fax_number": "844-682-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIANG",
        "first_name": "YAN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61206780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "WDL225B9443B",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adriana Dawn Jewett
• Geraldine Archana Jeyanthan
• JG&M Corporation (Nurturing Adult Family Home)
• Audrey Jiang, MD
• NA Jiang, MD
• Jike LLC (Square Care Medical & Pharmacy)
• Jike LLC (Square Care Medical & Pharmacy)
• Jillian Lee Counseling, PLLC
• Leslie Jimenez, LCSW
• Tiffany Jivagunchainan

• Massage Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.