Sommer Dawn Stephens, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00024378 Issued in WA

Practice address

19721 Scriber Lake Road
Suite D
Lynnwood, WA 98036-6119

Phone

(425) 775-3544

Fax

(425) 670-6502

NPI assigned

Apr 9, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Randall Inc.

  • Preferred Provider Organization
  • Lynnwood, WA
  • NPI 1992063945
  NPD (past)

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1295908333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19721 SCRIBER LAKE ROAD",
            "address_2": "SUITE D",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366119",
            "telephone_number": "425-775-3544",
            "fax_number": "425-670-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19721 SCRIBER LAKE ROAD",
            "address_2": "SUITE D",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366119",
            "telephone_number": "425-775-3544",
            "fax_number": "425-670-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "SOMMER",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00024378",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00024373",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Alexander Stein, MD
• Stephanie Greenall
• Blake Kilvington Stephens, PT
• Christina Renee' Stephens, LMP
• Katherine Stephens
• Mitchell A Stern, DDS
• Baillie Stewart
• Johnna Stewart, LICSW
• Susan E. Stewart, M.S., CCC-SLP
• Tara J Still

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.

Verify at the official NPI Registry.