Active NPI
Colleen Quinn, L.M.P.
- Specialist
- Federal Way, WA
National Provider Identifier
1275947673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA 60447826
- Practice address
- 530 S 336TH St
Ste C
Federal Way, WA 98003-6383 - Phone
- (253) 874-3857
- Fax
- (253) 661-4007
- NPI assigned
- Jun 13, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA 60447826 | WA | Primary |
Addresses
Primary practice location
530 S 336TH St
Ste C
Federal Way, WA 98003-6383
Mailing address
530 S 336TH St
Ste C
Federal Way, WA 98003-6383
Phone (253) 874-3857
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 |
|---|---|---|---|
| MA 60447826 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massage for Health and Day Spa, Inc | Specialist | Past | Accepting new patients |
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.
-
- Specialist
- Federal Way, WA
- NPI 1093989675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402617600000",
"number": "1275947673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 S 336TH ST",
"address_2": "STE C",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036383",
"telephone_number": "253-874-3857",
"fax_number": "253-661-4007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 S 336TH ST",
"address_2": "STE C",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036383",
"telephone_number": "253-874-3857",
"fax_number": "253-661-4007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINN",
"first_name": "COLLEEN",
"credential": "L.M.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-13",
"last_updated": "2014-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "WA",
"license": "MA 60447826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.