Individual provider Active NPI

Doris Jean Jensen, LMP

  • Massage Therapist
  • Battle Ground, WA
National Provider Identifier
1275807117
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60176597 Issued in WA
Practice address
31021 NE 132ND Ave
Battle Ground, WA 98604-7734
Phone
(360) 687-0280
NPI assigned
Feb 23, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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 MA60176597 WA Primary

Addresses

Primary practice location

31021 NE 132ND Ave
Battle Ground, WA 98604-7734

Mailing address

31021 NE 132ND Ave
Battle Ground, WA 98604-7734
Phone (360) 687-0280

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
MA60176597WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Water Lily Therapeutic Massage & Sauna LLC Massage Therapist CurrentSince Jan 14, 2024 Accepting new patients

Locations

119 S Parkway Ave
Ste 101
Battle Ground, WA 98604
Phone (360) 666-1300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1275807117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31021 NE 132ND AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986047734",
            "telephone_number": "360-687-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31021 NE 132ND AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986047734",
            "telephone_number": "360-687-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "DORIS",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60176597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Ground, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.