Active NPI
Bonnie Janette Harrison, LMP
- Massage Therapist
- Edgewood, WA
National Provider Identifier
1265619316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00012709
- Practice address
- 3307 Meridian Ave E
Edgewood, WA 98371-2609 - Phone
- (253) 845-9744
- NPI assigned
- Jan 30, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00012709 | WA | Primary |
Addresses
Primary practice location
3307 Meridian Ave E
Edgewood, WA 98371-2609
Mailing address
3307 Meridian Ave E
Edgewood, WA 98371-2609
Phone (253) 845-9744
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA00012709 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201651200000",
"number": "1265619316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3307 MERIDIAN AVE E",
"city": "EDGEWOOD",
"state": "WA",
"postal_code": "983712609",
"telephone_number": "253-845-9744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3307 MERIDIAN AVE E",
"city": "EDGEWOOD",
"state": "WA",
"postal_code": "983712609",
"telephone_number": "253-845-9744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "BONNIE",
"middle_name": "JANETTE",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-30",
"last_updated": "2008-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00012709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edgewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.