Individual provider Active NPI

Emalee Raylene Whiteman, MA 61006423

  • Massage Therapist
  • Bellingham, WA
National Provider Identifier
1366084907
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61006423 Issued in WA
Practice address
1756 Iowa St
Bellingham, WA 98229-4702
Phone
(360) 734-9555
Fax
(360) 734-9556
NPI assigned
Oct 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA61006423 WA Primary

Addresses

Primary practice location

1756 Iowa St
Bellingham, WA 98229-4702

Mailing address

1756 Iowa St
Bellingham, WA 98229-4702
Phone (360) 734-9555

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 Arts

State licenses

LicenseStateTypeSpecialty
MA61006423WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Momenta Health PLLC CurrentSince Jul 26, 2023 Accepting new patients
Adich Clinic, P.S. Massage Therapist PastSince Oct 20, 2019 Accepting new patients

Locations

1756 Iowa St
Bellingham, WA 98229
Phone (360) 207-4488

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1366084907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1756 IOWA ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982294702",
            "telephone_number": "360-734-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1756 IOWA ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982294702",
            "telephone_number": "360-734-9555",
            "fax_number": "360-734-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEMAN",
        "first_name": "EMALEE",
        "middle_name": "RAYLENE",
        "credential": "MA 61006423",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61006423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.