Individual provider Active NPI

Adrienne Louise Bettis-Warren, LMT

  • Massage Therapist
  • Bellingham, WA
National Provider Identifier
1225725633
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61422483 Issued in WA
Practice address
19 Bellwether Way Ste 101
Bellingham, WA 98225-2966
Phone
(360) 647-2805
NPI assigned
Apr 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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 MA61422483 WA Primary

Addresses

Primary practice location

19 Bellwether Way Ste 101
Bellingham, WA 98225-2966

Mailing address

194 E Kellogg Rd Apt K3
Bellingham, WA 98226-8127
Phone (360) 319-4558

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
MA61422483WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Still Life Massage and Float Massage Therapist PastSince Apr 23, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1225725633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 E KELLOGG RD APT K3",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268127",
            "telephone_number": "360-319-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BELLWETHER WAY STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252966",
            "telephone_number": "360-647-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTIS-WARREN",
        "first_name": "ADRIENNE",
        "middle_name": "LOUISE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61422483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.