Gerald Grant Gwin Jr., LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60308827 Issued in WA

Practice address

10513 Silverdale Way NW
Suite 101
Silverdale, WA 98383-9499

Phone

(360) 698-4411

NPI assigned

May 20, 2013

Last updated

May 20, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1285070003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5448 NW WESTGATE RD",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983836834",
            "telephone_number": "360-229-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10513 SILVERDALE WAY NW",
            "address_2": "SUITE 101",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839499",
            "telephone_number": "360-698-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWIN",
        "first_name": "GERALD",
        "middle_name": "GRANT",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60308827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulati Estate
• Pranay Gulati, DDS
• Rishabh Gulati, MD
• James A. Gunderson, LICSW,MSW,ACSW
• Taylor Guyton, RBT
• Michael Alan Gwinn, IDC
• Tei Habenicht, PA-C
• Amye M Hadley, ND, ARNP
• Kelly R Hadley, LICSW
• Brittany Irene Hageman, MA, CCC-SLP

• Massage Therapist in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.