Active NPI
Linda Marie Russell, LMP
- Massage Therapist
- Tacoma, WA
National Provider Identifier
1306158597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60163685
- Practice address
- 860 136TH Street CT E
Tacoma, WA 98445-2858 - Phone
- (253) 318-8557
- Fax
- (253) 531-1037
- NPI assigned
- Jul 5, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN00090815 | WA | |
| Massage Therapist | 225700000X | MA60163685 | WA | Primary |
Addresses
Primary practice location
860 136TH Street CT E
Tacoma, WA 98445-2858
Mailing address
860 136TH Street CT E
Tacoma, WA 98445-2858
Phone (253) 318-8557
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN00090815 | WA | MD | Registered Nurse |
| MA60163685 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278288000000",
"number": "1306158597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 136TH STREET CT E",
"city": "TACOMA",
"state": "WA",
"postal_code": "984452858",
"telephone_number": "253-318-8557",
"fax_number": "253-531-1037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 136TH STREET CT E",
"city": "TACOMA",
"state": "WA",
"postal_code": "984452858",
"telephone_number": "253-318-8557",
"fax_number": "253-531-1037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "LINDA",
"middle_name": "MARIE",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-05",
"last_updated": "2010-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00090815",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60163685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.