NPIMap

Organization Active NPI

Ambiance Massage & Spa, LTD

  • Massage Therapist
  • Aberdeen, WA
National Provider Identifier
1285934810
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00019187 Issued in WA
Legal business name
AMBIANCE MASSAGE & SPA, LTD
Practice address
501 N Broadway St
Aberdeen, WA 98520-3924
Phone
(360) 537-5914
Fax
(360) 532-1059
NPI assigned
Oct 29, 2010
Last updated
Oct 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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

Authorized official

Name
Mrs. Krystal Lynn Shope, LMPNPI 1730395799
Title
Owner/President
Phone
(360) 537-5914

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA00019187 WA Primary

Addresses

Primary practice location

501 N Broadway St
Aberdeen, WA 98520-3924

Mailing address

PO Box 1244
Aberdeen, WA 98520-0246
Phone (360) 537-5914

National Provider Directory

National Provider Directory

Locations

501 N Broadway St
Aberdeen, WA 98520
Phone (360) 537-5914

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1285934810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1244",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985200246",
            "telephone_number": "360-537-5914",
            "fax_number": "360-532-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N BROADWAY ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985203924",
            "telephone_number": "360-537-5914",
            "fax_number": "360-532-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBIANCE MASSAGE & SPA, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-29",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "SHOPE",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "360-537-5914",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00019187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.