Individual provider Active NPI

Nava Wiegert, LMP

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1225457179
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 60436045 Issued in WA
Practice address
5935 Fauntleroy Way SW Apt a
Seattle, WA 98136-1797
Phone
(734) 330-1572
NPI assigned
Apr 8, 2014
Last updated
Apr 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA 60436045 WA Primary

Addresses

Primary practice location

5935 Fauntleroy Way SW Apt a
Seattle, WA 98136-1797

Mailing address

5935 Fauntleroy Way SW Apt a
Seattle, WA 98136-1797
Phone (734) 330-1572

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
MA 60436045WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1225457179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5935 FAUNTLEROY WAY SW APT A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361797",
            "telephone_number": "734-330-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5935 FAUNTLEROY WAY SW APT A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361797",
            "telephone_number": "734-330-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEGERT",
        "first_name": "NAVA",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60436045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.