Janet Ann Irvine, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00009699 Issued in WA

Practice address

430 E Lauridsen Blvd
Suite 112
Port Angeles, WA 98362-7978

Phone

(360) 457-7576

Fax

(360) 452-8079

NPI assigned

Apr 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295958080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 E LAURIDSEN BLVD",
            "address_2": "SUITE 112",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983627978",
            "telephone_number": "360-457-7576",
            "fax_number": "360-452-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 E LAURIDSEN BLVD",
            "address_2": "SUITE 112",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983627978",
            "telephone_number": "360-457-7576",
            "fax_number": "360-452-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRVINE",
        "first_name": "JANET",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00009699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA L & I PROVIDER NUMBER",
            "identifier": "0112558",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johanna Louise Ingalls, MA, CDP
• Jenny Lynn Iredale, CP 61190077
• Holly Michelle Irish, DVM
• Katie Irvin, MS OTR/L
• James A. Irvine, D.C.
• Todd R. Irwin, DMD
• J M Cain MD PLLC
• Khalid Abdul Jaboori, M.D.
• Kaley Jack
• Lora K Jackson, ARNP

• Massage Therapist in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.