Active NPI
Jessica Diane Labelle, L.M.P.
- Massage Therapist
- Spokane, WA
National Provider Identifier
1285859991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00023773
- Practice address
- 9720 N Nevada St
Spokane, WA 99218-5019 - Phone
- (509) 464-2273
- Fax
- (509) 242-1854
- NPI assigned
- Apr 16, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00023773 | WA | Primary |
Addresses
Primary practice location
9720 N Nevada St
Spokane, WA 99218-5019
Mailing address
33210 N Spotted Rd
Deer Park, WA 99006-9521
Phone (509) 276-5324
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA00023773 | Other | WA | LICENSE |
Other names 1
- Miss Jessica Diane Connall
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 |
|---|---|---|---|
| MA00023773 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houk Chiropractic-Coeur D'Alene P.C. | Past | Accepting new patients | |
| Mark WM Houk ,D.C. P.S. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Spokane, WA
- NPI 1528046778
-
- Chiropractor
- Coeur D Alene, ID
- NPI 1104264811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226361600000",
"number": "1285859991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33210 N SPOTTED RD",
"city": "DEER PARK",
"state": "WA",
"postal_code": "990069521",
"telephone_number": "509-276-5324",
"fax_number": "509-242-1854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9720 N NEVADA ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992185019",
"telephone_number": "509-464-2273",
"fax_number": "509-242-1854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABELLE",
"first_name": "JESSICA",
"middle_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "L.M.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2008-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00023773",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "MA00023773",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "CONNALL",
"middle_name": "DIANE",
"prefix": "MISS",
"credential": "L.M.P.",
"code": "1",
"type": "Former Name"
}
]
}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 Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.