Individual provider Active NPI

Jennifer Lynne Wassler, LMP

  • Massage Therapist
  • Bellevue, WA
National Provider Identifier
1306138540
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60210169 Issued in WA
Practice address
1611 116TH Ave NE
Ste 200
Bellevue, WA 98004-3045
Phone
(425) 455-0088
NPI assigned
May 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2011

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 MA60210169 WA Primary

Addresses

Primary practice location

1611 116TH Ave NE
Ste 200
Bellevue, WA 98004-3045

Mailing address

22730 Cherry Valley Rd
Monroe, WA 98272-8922
Phone (206) 819-5854

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
MA60210169WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe Therapeutic Massage PS Massage Therapist Past Accepting new patients

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": "1304640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1306138540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22730 CHERRY VALLEY RD",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982728922",
            "telephone_number": "206-819-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 116TH AVE NE",
            "address_2": "STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043045",
            "telephone_number": "425-455-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSLER",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-06",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60210169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; 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.