Active NPI
Karla Janette Nolte, LMT
- Massage Therapist
- Vancouver, WA
National Provider Identifier
1275021719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60745365
- Practice address
- 4400 NE 77TH Ave Ste 275
Vancouver, WA 98662-6857 - Phone
- (360) 768-4400
- NPI assigned
- Apr 30, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60745365 | WA | Primary |
| Massage Therapist | 225700000X | 22952 | OR |
Addresses
Primary practice location
4400 NE 77TH Ave Ste 275
Vancouver, WA 98662-6857
Mailing address
15316 NE 80TH St
Vancouver, WA 98682-3487
Phone (503) 997-0568
Other practice location 1
15316 NE 80th St
Vancouver, WA 98682-3487
Phone (503) 997-0568
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 |
|---|---|---|---|
| 22952 | OR | MD | Massage Therapist |
| MA60745365 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525046400000",
"number": "1275021719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15316 NE 80TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986823487",
"telephone_number": "503-997-0568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 NE 77TH AVE STE 275",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986626857",
"telephone_number": "360-768-4400"
}
],
"practiceLocations": [
{
"address_1": "15316 NE 80th St",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986823487",
"country_code": "US",
"telephone_number": "503-997-0568",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOLTE",
"first_name": "KARLA",
"middle_name": "JANETTE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-30",
"last_updated": "2018-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60745365",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "22952",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.