Active NPI
Jacquelyn Elise Mauer, LMP
- Massage Therapist
- Seattle, WA
National Provider Identifier
1316263452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60144389
- Practice address
- 1901 10TH Ave W
Seattle, WA 98119-2821 - Phone
- (206) 216-9800
- NPI assigned
- Apr 14, 2010
- Sex
- Female
- Sole proprietor
- No
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 | MA60144389 | WA | Primary |
Addresses
Primary practice location
1901 10TH Ave W
Seattle, WA 98119-2821
Mailing address
1901 10TH Ave W
Seattle, WA 98119-2821
Phone (206) 216-9800
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 |
|---|---|---|---|
| MA60144389 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Visage Spa | 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": "1271203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271203200000",
"number": "1316263452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 10TH AVE W",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981192821",
"telephone_number": "206-216-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 10TH AVE W",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981192821",
"telephone_number": "206-216-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAUER",
"first_name": "JACQUELYN",
"middle_name": "ELISE",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-14",
"last_updated": "2010-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60144389",
"primary": true
}
],
"identifiers": [],
"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 Apr 14, 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.