Active NPI
Patricia A Meyer, LMP
- Massage Therapist
- Poulsbo, WA
National Provider Identifier
1316072614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00007414
- Practice address
- 19410 8TH Ave NE
Suite 101
Poulsbo, WA 98370-7379 - Phone
- (425) 829-8440
- NPI assigned
- Feb 23, 2007
- Last updated
- Aug 27, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00007414 | WA | Primary |
Addresses
Primary practice location
19410 8TH Ave NE
Suite 101
Poulsbo, WA 98370-7379
Mailing address
PO Box 1006
Kingston, WA 98346-1006
Phone (425) 829-8440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0077651 | Other | WA | LABOR AND INDUSTRIES |
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 |
|---|---|---|---|
| MA00007414 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188172800000",
"number": "1316072614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1006",
"city": "KINGSTON",
"state": "WA",
"postal_code": "983461006",
"telephone_number": "425-829-8440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19410 8TH AVE NE",
"address_2": "SUITE 101",
"city": "POULSBO",
"state": "WA",
"postal_code": "983707379",
"telephone_number": "425-829-8440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "PATRICIA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2007-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00007414",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "0077651",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Poulsbo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.