Individual provider Active NPI

Jayden Rhiana Nadolny X, LMP

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1265692263
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
00025053 Issued in WA
Practice address
6752 17TH Ave NW
Seattle, WA 98117-5518
Phone
(425) 533-5448
NPI assigned
Jun 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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 00025053 WA Primary

Addresses

Primary practice location

6752 17TH Ave NW
Seattle, WA 98117-5518

Mailing address

6752 17TH Ave NW
Seattle, WA 98117-5518
Phone (425) 533-5448

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
00025053WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1265692263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6752 17TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981175518",
            "telephone_number": "425-533-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6752 17TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981175518",
            "telephone_number": "425-533-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADOLNY",
        "first_name": "JAYDEN",
        "middle_name": "RHIANA",
        "name_suffix": "X",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "00025053",
            "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 Jun 12, 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.

Verify at the official NPI Registry.