Active NPI
Jessica Crowder, LMT
- Massage Therapist
- Everett, WA
National Provider Identifier
1346896289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60943922
- Practice address
- 711 112TH St SE Ste C
Everett, WA 98208-5283 - Phone
- (425) 355-5000
- NPI assigned
- Aug 15, 2019
- Last updated
- Aug 15, 2019
- 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 | MA60943922 | WA | Primary |
Addresses
Primary practice location
711 112TH St SE Ste C
Everett, WA 98208-5283
Mailing address
711 112TH St SE Ste C
Everett, WA 98208-5283
Phone (425) 355-5000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | NA | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| MA60943922 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Wellness Center,PLLC | Current | Accepting new patients | |
| Chang Chiropractic, PLLC | Past | Accepting new patients |
Locations
711 112th St SE
Ste C
Everett, WA 98208
Phone (206) 992-2561
Organizations & group practices 2
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.
-
- Chiropractor
- Everett, WA
- NPI 1114054079
-
- Chiropractor
- Everett, WA
- NPI 1578718995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565827200000",
"number": "1346896289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 112TH ST SE STE C",
"city": "EVERETT",
"state": "WA",
"postal_code": "982085283",
"telephone_number": "425-355-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 112TH ST SE STE C",
"city": "EVERETT",
"state": "WA",
"postal_code": "982085283",
"telephone_number": "425-355-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWDER",
"first_name": "JESSICA",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-15",
"last_updated": "2019-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60943922",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "NA",
"affiliation": "N",
"endpointDescription": "NA",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "NA",
"address_1": "711 112th St SE Ste C",
"city": "Everett",
"state": "WA",
"country_code": "US",
"postal_code": "982085283",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.