Individual provider Active NPI

Sarah J Dixen, MASSAGE THERAPIST

  • Specialist
  • Lake Stevens, WA
National Provider Identifier
1356581474
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
00021589 Issued in WA
Practice address
9433 4TH St NE Ste 104
Lake Stevens, WA 98258-1653
Phone
(425) 931-6984
NPI assigned
Mar 2, 2009
Last updated
Sep 21, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 00021589 WA Primary

Addresses

Primary practice location

9433 4TH St NE Ste 104
Lake Stevens, WA 98258-1653

Mailing address

9433 4TH St NE Ste 104
Lake Stevens, WA 98258-1653
Phone (425) 931-6984

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

LicenseStateTypeSpecialty
00021589WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Applied Healthcare Associates, P.S Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253491200000",
    "number": "1356581474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9433 4TH ST NE STE 104",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982581653",
            "telephone_number": "425-931-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9433 4TH ST NE STE 104",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982581653",
            "telephone_number": "425-931-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXEN",
        "first_name": "SARAH",
        "middle_name": "J",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-02",
        "last_updated": "2009-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "00021589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Stevens, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; 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.