Active NPI
Cristie Leigh Campbell, LMP
- Massage Therapist
- Gig Harbor, WA
National Provider Identifier
1356855076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60388699
- Practice address
- 7700 Pioneer Way, Suite 101
Gig Harbor, WA 98335 - Phone
- (253) 509-0258
- Fax
- (253) 509-0297
- NPI assigned
- Nov 17, 2017
- Last updated
- Nov 17, 2017
- 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 | MA60388699 | WA | Primary |
Addresses
Primary practice location
7700 Pioneer Way, Suite 101
Gig Harbor, WA 98335
Mailing address
7700 Pioneer Way, Suite 101
Gig Harbor, WA 98335
Phone (253) 509-0258
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 |
|---|---|---|---|
| MA60388699 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Moon Massage Studio, LLC | 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.
-
- Contractor
- Gig Harbor, WA
- NPI 1174952964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510876800000",
"number": "1356855076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7700 PIONEER WAY, SUITE 101",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "98335",
"telephone_number": "253-509-0258",
"fax_number": "253-509-0297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 PIONEER WAY, SUITE 101",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "98335",
"telephone_number": "253-509-0258",
"fax_number": "253-509-0297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "CRISTIE",
"middle_name": "LEIGH",
"name_prefix": "Ms.",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-17",
"last_updated": "2017-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60388699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.