Individual provider Active NPI

Judy Lynn Hammer, LMP LICENSED MASSAGE

  • Massage Therapist
  • Anacortes, WA
National Provider Identifier
1245370089
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00013679 Issued in WA
Practice address
1004 M Avenue
Suite 105
Anacortes, WA 98221-4133
Phone
(360) 708-6535
Fax
(888) 896-9894
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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 MA00013679 WA Primary

Addresses

Primary practice location

1004 M Avenue
Suite 105
Anacortes, WA 98221-4133

Mailing address

PO Box 1478
Anacortes, WA 98221-6478
Phone (360) 708-6535

Other identifiers 2

IdentifierTypeStateIssuer
0166112OtherWAWA DEPT LABOR AND INDUSTR
611739200OtherUS DEPT LABOR FECA NUMBER

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
MA00013679WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1245370089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1478",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982216478",
            "telephone_number": "360-708-6535",
            "fax_number": "360-230-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 M AVENUE",
            "address_2": "SUITE 105",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982214133",
            "telephone_number": "360-708-6535",
            "fax_number": "888-896-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMER",
        "first_name": "JUDY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LMP LICENSED MASSAGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00013679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DEPT LABOR AND INDUSTR",
            "identifier": "0166112",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT LABOR FECA NUMBER",
            "identifier": "611739200",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anacortes, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.