Individual provider Active NPI

Andrea Elizabeth Villhauer, LMT

  • Massage Therapist
  • Bellingham, WA
National Provider Identifier
1316617582
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61095568 Issued in WA
Practice address
1486 Electric Ave Ste 103
Bellingham, WA 98229-2410
Phone
(360) 671-5644
Fax
(360) 715-2864
NPI assigned
Sep 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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 MA61095568 WA Primary

Addresses

Primary practice location

1486 Electric Ave Ste 103
Bellingham, WA 98229-2410

Mailing address

1486 Electric Ave Ste 103
Bellingham, WA 98229-2410
Phone (360) 671-5644

Other identifiers 1

IdentifierTypeStateIssuer
261534255OtherWA1467645879

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
MA61095568WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Health Chiropractic LLC CurrentSince Sep 23, 2021 Accepting new patients

Locations

1486 Electric Ave
Ste 103
Bellingham, WA 98229
Phone (360) 441-3608

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": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1316617582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1486 ELECTRIC AVE STE 103",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982292410",
            "telephone_number": "360-671-5644",
            "fax_number": "360-715-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1486 ELECTRIC AVE STE 103",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982292410",
            "telephone_number": "360-671-5644",
            "fax_number": "360-715-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLHAUER",
        "first_name": "ANDREA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61095568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1467645879",
            "identifier": "261534255",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.