Individual provider Active NPI

Julie Diane Bossen, LMP

  • Massage Therapist
  • Spokane, WA
National Provider Identifier
1275676793
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00020411 Issued in WA
Practice address
101 W Cataldo Ave
Suite 303
Spokane, WA 99201-3200
Phone
(509) 327-1994
Fax
(509) 327-1911
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MA00020411 WA Primary

Addresses

Primary practice location

101 W Cataldo Ave
Suite 303
Spokane, WA 99201-3200

Mailing address

13007 E 29TH Ave
Spokane Valley, WA 99216-0237
Phone (509) 863-2239

Other identifiers 1

IdentifierTypeStateIssuer
0194776OtherWALABOR AND INDUSTRIES

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
MA00020411WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275676793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13007 E 29TH AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992160237",
            "telephone_number": "509-863-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W CATALDO AVE",
            "address_2": "SUITE 303",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992013200",
            "telephone_number": "509-327-1994",
            "fax_number": "509-327-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSSEN",
        "first_name": "JULIE",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00020411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0194776",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.