Active NPI
Teresa Meyer
- Massage Therapist
- Blaine, WA
National Provider Identifier
1346645710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2700
- Practice address
- 2456 H Street Rd
Blaine, WA 98230-8904 - Phone
- (402) 881-7627
- NPI assigned
- Oct 28, 2014
- Last updated
- Oct 28, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2700 | NE | Primary |
| Massage Therapist | 225700000X | 005978 | IA |
Addresses
Primary practice location
2456 H Street Rd
Blaine, WA 98230-8904
Mailing address
2456 H Street Rd
Blaine, WA 98230-8904
Phone (402) 881-7627
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 |
|---|---|---|---|
| 005978 | IA | MD | Massage Therapist |
| 2700 | NE | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414454400000",
"number": "1346645710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2456 H STREET RD",
"city": "BLAINE",
"state": "WA",
"postal_code": "982308904",
"telephone_number": "402-881-7627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2456 H STREET RD",
"city": "BLAINE",
"state": "WA",
"postal_code": "982308904",
"telephone_number": "402-881-7627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "TERESA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-28",
"last_updated": "2014-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NE",
"license": "2700",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IA",
"license": "005978",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blaine, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.