Individual provider Active NPI

Lauren Elizabeth Weikal, LMP

  • Massage Therapist
  • Kirkland, WA
National Provider Identifier
1306159207
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60168683 Issued in WA
Practice address
13128 Totem Lake Blvd NE
Suite 203
Kirkland, WA 98034-2953
Phone
(425) 820-8837
Fax
(425) 820-7009
NPI assigned
Jul 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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 MA60168683 WA Primary

Addresses

Primary practice location

13128 Totem Lake Blvd NE
Suite 203
Kirkland, WA 98034-2953

Mailing address

13128 Totem Lake Blvd NE
Suite 203
Kirkland, WA 98034-2953
Phone (425) 820-8837

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
MA60168683WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1306159207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13128 TOTEM LAKE BLVD NE",
            "address_2": "SUITE 203",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980342953",
            "telephone_number": "425-820-8837",
            "fax_number": "425-820-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13128 TOTEM LAKE BLVD NE",
            "address_2": "SUITE 203",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980342953",
            "telephone_number": "425-820-8837",
            "fax_number": "425-820-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIKAL",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60168683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.

Verify at the official NPI Registry.