Active NPI
Maureen Rose Parker, MS, ATC, LMP, CES
- Massage Therapist
- Edmonds, WA
National Provider Identifier
1275621658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00022740
- Practice address
- 7500 212TH St SW
Ste 116
Edmonds, WA 98026-7641 - Phone
- (425) 776-6966
- Fax
- (425) 776-6969
- NPI assigned
- Oct 10, 2006
- Last updated
- Jan 23, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 030402138 | WA | |
| Massage Therapist | 225700000X | MA00022740 | WA | Primary |
Addresses
Primary practice location
7500 212TH St SW
Ste 116
Edmonds, WA 98026-7641
Mailing address
7500 212TH St SW Ste 101
Edmonds, WA 98026-7614
Phone (425) 776-6966
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030402138 | WA | MD | Athletic Trainer |
| MA00022740 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NW Orthopaedic Massage | Massage Therapist | Current | Accepting new patients |
Locations
7500 212th St SW
Ste 101
Edmonds, WA 98026
Phone (425) 776-6966
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Massage Therapist
- Edmonds, WA
- NPI 1225536428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516665600000",
"number": "1275621658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7500 212TH ST SW STE 101",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980267614",
"telephone_number": "425-776-6966",
"fax_number": "425-776-6969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7500 212TH ST SW",
"address_2": "STE 116",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980267641",
"telephone_number": "425-776-6966",
"fax_number": "425-776-6969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "MAUREEN",
"middle_name": "ROSE",
"name_prefix": "Miss",
"credential": "MS, ATC, LMP, CES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2018-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WA",
"license": "030402138",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00022740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.