Individual provider Active NPI

Jessica K. Smartt Silva, BS, LMP

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1306980354
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 00015362 Issued in WA
Practice address
1702 S Shelton St
Seattle, WA 98108-1966
Phone
(206) 551-5382
Fax
(206) 448-5586
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MA 00015362 WA Primary

Addresses

Primary practice location

1702 S Shelton St
Seattle, WA 98108-1966

Mailing address

1702 S Shelton St
Seattle, WA 98108-1966
Phone (206) 551-5382

Other identifiers 1

IdentifierTypeStateIssuer
MA00015362OtherWAMASSAGE PRACTITIONER

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
MA 00015362WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306980354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 S SHELTON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981081966",
            "telephone_number": "206-551-5382",
            "fax_number": "206-448-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 S SHELTON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981081966",
            "telephone_number": "206-551-5382",
            "fax_number": "206-448-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA",
        "first_name": "JESSICA",
        "middle_name": "K. SMARTT",
        "name_prefix": "Mrs.",
        "credential": "BS, LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 00015362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE PRACTITIONER",
            "identifier": "MA00015362",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • 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.