Active NPI
Sarah Nicodemus, LMT
- Massage Therapist
- Anacortes, WA
National Provider Identifier
1326383944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00009874
- Practice address
- 902 28TH St
Anacortes, WA 98221-2830 - Phone
- (360) 202-7252
- NPI assigned
- Dec 7, 2012
- Last updated
- Jun 20, 2019
- 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 | MA00009874 | WA | Primary |
Addresses
Primary practice location
902 28TH St
Anacortes, WA 98221-2830
Mailing address
PO Box 1536
Anacortes, WA 98221-6536
Phone (360) 202-7252
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 |
|---|---|---|---|
| MA00009874 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560988800000",
"number": "1326383944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1536",
"city": "ANACORTES",
"state": "WA",
"postal_code": "982216536",
"telephone_number": "360-202-7252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 28TH ST",
"city": "ANACORTES",
"state": "WA",
"postal_code": "982212830",
"telephone_number": "360-202-7252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICODEMUS",
"first_name": "SARAH",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-07",
"last_updated": "2019-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00009874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anacortes, WA
- Isabelle Nguyen-Quoc, DDS
- Jennifer Nguyen
- Minhphat Ngoc Nguyen, PHARMD
- NHC Oak Harbor
- Vanessa Nichols, LPTA
- Kelly J Niess, LMFT
- Laura Therese Nolan, M.A., L.M.H.C.A.
- North Cascade Eye Associates PS (Cascadia Eye)
- North Sound Clinics, LLC (North Sound Chiropractic)
- North Sound Oral and Facial Surgery P.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.