Active NPI
Jessica Rose Byrd, LMT
- Massage Therapist
- Vancouver, WA
National Provider Identifier
1326405606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 60533827
- Practice address
- 3200 SE 164TH Ave Ste 212
Vancouver, WA 98683-1108 - Phone
- (360) 406-4884
- NPI assigned
- Jan 18, 2016
- Last updated
- Jan 18, 2016
- 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 | MA 60533827 | WA | Primary |
Addresses
Primary practice location
3200 SE 164TH Ave Ste 212
Vancouver, WA 98683-1108
Mailing address
4620 NE 22ND Ave
Vancouver, WA 98663-2003
Phone (360) 909-8954
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 |
|---|---|---|---|
| MA 60533827 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vigor Natural Health Clinic, LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Health Service Clinic/Center
- Vancouver, WA
- NPI 1962895961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453075200000",
"number": "1326405606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4620 NE 22ND AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986632003",
"telephone_number": "360-909-8954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 SE 164TH AVE STE 212",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986831108",
"telephone_number": "360-406-4884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRD",
"first_name": "JESSICA",
"middle_name": "ROSE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-18",
"last_updated": "2016-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA 60533827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.