Individual provider Active NPI

Barbara Jean Alexander, LMP

  • Specialist
  • Bellevue, WA
National Provider Identifier
1356565931
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00004665 Issued in WA
Practice address
40 Lake Bellevue Dr Ste 220
Bellevue, WA 98005-2480
Phone
(206) 499-7793
Fax
(206) 783-4522
NPI assigned
Apr 13, 2007
Last updated
Aug 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00004665 WA Primary

Addresses

Primary practice location

40 Lake Bellevue Dr Ste 220
Bellevue, WA 98005-2480

Mailing address

40 Lake Bellevue Dr Ste 220
Bellevue, WA 98005-2480
Phone (206) 499-7793

Other practice location 1

3609 1st Ave NW
Seattle, WA 98107-4904
Phone (206) 499-7793

Other identifiers 1

IdentifierTypeStateIssuer
00004665OtherWAMASSAGE LICENSE

Other names 1

  • Barbara Jean Ingram Former name

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 Theology

State licenses

LicenseStateTypeSpecialty
MA00004665WAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1356565931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 LAKE BELLEVUE DR STE 220",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052480",
            "telephone_number": "206-499-7793",
            "fax_number": "206-783-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 LAKE BELLEVUE DR STE 220",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052480",
            "telephone_number": "206-499-7793",
            "fax_number": "206-783-4522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3609 1st Ave NW",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981074904",
            "country_code": "US",
            "telephone_number": "206-499-7793",
            "fax_number": "206-783-4522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "BARBARA",
        "middle_name": "JEAN",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00004665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE LICENSE",
            "identifier": "00004665",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "INGRAM",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

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

Verify at the official NPI Registry.