Individual provider Active NPI

Jennifer Jeanne Larreynaga, MA 60763617

  • Massage Therapist
  • Gig Harbor, WA
National Provider Identifier
1346762432
Registry record updated Jul 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
60763617 Issued in WA
Practice address
3715 56TH St NW
Gig Harbor, WA 98335-8240
Phone
(253) 851-5138
NPI assigned
Jul 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2017

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 60763617 WA Primary

Addresses

Primary practice location

3715 56TH St NW
Gig Harbor, WA 98335-8240

Mailing address

7508 Hill Ave Apt 4
Gig Harbor, WA 98335-1211
Phone (619) 730-8316

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
60763617WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Chiropractic Wellness Center PS PastSince Aug 15, 2008 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499731200000",
    "number": "1346762432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7508 HILL AVE APT 4",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351211",
            "telephone_number": "619-730-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 56TH ST NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358240",
            "telephone_number": "253-851-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARREYNAGA",
        "first_name": "JENNIFER",
        "middle_name": "JEANNE",
        "credential": "MA 60763617",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2017-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "60763617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2017; 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.