Individual provider Active NPI

Josephine Waldner, LMT

  • Massage Therapist
  • Ferndale, WA
National Provider Identifier
1295334266
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
61100177 Issued in WA
Practice address
6046 Portal Way Ste 104
Ferndale, WA 98248-7829
Phone
(360) 224-3091
NPI assigned
Oct 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 61100177 WA Primary

Addresses

Primary practice location

6046 Portal Way Ste 104
Ferndale, WA 98248-7829

Mailing address

9409 Delta Line Rd
Blaine, WA 98230-9766
Phone (360) 224-3091

Other practice location 1

2410 Yew St
Bellingham, WA 98229-3940
Phone (360) 733-4222

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
61100177WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Health Care Clinic P.S. Single Specialty CurrentSince Oct 1, 2020 Accepting new patients

Locations

2410 Yew St
Bellingham, WA 98229
Phone (360) 733-4222

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": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1295334266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9409 DELTA LINE RD",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982309766",
            "telephone_number": "360-224-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6046 PORTAL WAY STE 104",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982487829",
            "telephone_number": "360-224-3091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2410 Yew St",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982293940",
            "country_code": "US",
            "telephone_number": "360-733-4222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALDNER",
        "first_name": "JOSEPHINE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "61100177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.