Individual provider Active NPI

Maureen Rose Parker, MS, ATC, LMP, CES

  • Massage Therapist
  • Edmonds, WA
National Provider Identifier
1275621658
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00022740 Issued in WA
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
030402138WAMDAthletic Trainer
MA00022740WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.