Individual provider Active NPI

Gerald James Farrell, LMP CR

  • Massage Therapist
  • Bellingham, WA
National Provider Identifier
1346421187
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00013595 Issued in WA
Practice address
909 Harris Ave
Suite 201C
Bellingham, WA 98225-7080
Phone
(360) 201-5808
NPI assigned
Nov 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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 MA00013595 WA Primary

Addresses

Primary practice location

909 Harris Ave
Suite 201C
Bellingham, WA 98225-7080

Mailing address

909 Harris Ave
Suite 201C
Bellingham, WA 98225-7080
Phone (360) 201-5808

Other names 1

  • Jerry Farrell Professional name

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
MA00013595WAMDMassage Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1346421187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 HARRIS AVE",
            "address_2": "SUITE 201C",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257080",
            "telephone_number": "360-201-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 HARRIS AVE",
            "address_2": "SUITE 201C",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257080",
            "telephone_number": "360-201-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "GERALD",
        "middle_name": "JAMES",
        "credential": "LMP CR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00013595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERRY",
            "last_name": "FARRELL",
            "credential": "LMP CR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Nov 20, 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.

Verify at the official NPI Registry.