Individual provider Active NPI

Jennifer A. Baffoe, LMT

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1295493161
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
61218395 Issued in WA
Practice address
204 E 16TH St
Vancouver, WA 98663-3409
Phone
(360) 939-3165
NPI assigned
Dec 7, 2021
Last updated
Dec 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 61218395 WA Primary

Addresses

Primary practice location

204 E 16TH St
Vancouver, WA 98663-3409

Mailing address

8701 NE 54TH St Apt E6
Vancouver, WA 98662-6216
Phone (605) 484-3751

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
61218395WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1295493161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 NE 54TH ST APT E6",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626216",
            "telephone_number": "605-484-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E 16TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633409",
            "telephone_number": "360-939-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAFFOE",
        "first_name": "JENNIFER",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "61218395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.