Carolyn Michele Christiansen, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00012895 Issued in WA

Practice address

450 Port Orchard Blvd Ste 390
Port Orchard, WA 98366-4705

Phone

(360) 440-8060

NPI assigned

Mar 26, 2007

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

Other names 1

• C. Michele Christiansen Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1356469548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772",
            "city": "MANCHESTER",
            "state": "WA",
            "postal_code": "983530772",
            "telephone_number": "360-440-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 PORT ORCHARD BLVD STE 390",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983664705",
            "telephone_number": "360-440-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIANSEN",
        "first_name": "CAROLYN",
        "middle_name": "MICHELE",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00012895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "C.",
            "last_name": "CHRISTIANSEN",
            "middle_name": "MICHELE",
            "credential": "LMP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kristen M Childress, ARNP
• Lin Jung Chin, L.AC
• Steven C Chobot, DDS
• Chris Mueller DDS PLLC
• Rose K Christen, DPT
• Houston Steven Christiansen, DMD
• Kimberly Christly, LICSW
• Gary Marvin Christman, DDS
• Jennifer Claire, PHD DD
• Meghan Aubrey Clark, ARNP

• Massage Therapist in Port Orchard, WA
• Providers in Port Orchard, 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 4, 2016; 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.