Tristan R Jorgensen

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00004291 Issued in WA

Practice address

1200 Harris Ave Ste 405
Bellingham, WA 98225-7146

Phone

(425) 698-5999

NPI assigned

Apr 29, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mahal Bodywork Studio LLC

  • Massage Therapist
  • Bellingham, WA
  • NPI 1437901022
  NPD

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1356197552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 MOORE ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982263529",
            "telephone_number": "425-698-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HARRIS AVE STE 405",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257146",
            "telephone_number": "425-698-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "TRISTAN",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00004291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skyler Jordan
• John Jordy, LMHC, M.ED.
• Bruce H Jorgensen, D.C.
• Jane Elizabeth Jorgensen
• Jenna Jorgensen, ND
• Jovanny Jose-Jose, LMT
• Joshua Clarkman, DDS, PLLC
• Lucy Jowaisas
• Marcia Lee Joye
• Joyful Rain Therapy, PLLC

• Massage Therapist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.