Individual provider Active NPI

Tessa C Watson, LMT

  • Massage Therapist
  • Poulsbo, WA
National Provider Identifier
1366095523
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60985178 Issued in WA
Practice address
19045 State Highway 305 NE Ste 190
Poulsbo, WA 98370-7312
Phone
(360) 697-6100
NPI assigned
Jul 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 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 MA60985178 WA Primary

Addresses

Primary practice location

19045 State Highway 305 NE Ste 190
Poulsbo, WA 98370-7312

Mailing address

1863 NW Sherman Hill Rd
Poulsbo, WA 98370-8202
Phone (360) 620-6048

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@wellbeing-center.com

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
MA60985178WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gip Inc PastSince Jul 25, 2019 Accepting new patients
Well Being Yoga, LLC Massage Therapist PastSince Jul 25, 2019 Accepting new patients

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": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1366095523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1863 NW SHERMAN HILL RD",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708202",
            "telephone_number": "360-620-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19045 STATE HIGHWAY 305 NE STE 190",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707312",
            "telephone_number": "360-697-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "TESSA",
        "middle_name": "C",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60985178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@wellbeing-center.com",
            "affiliation": "N",
            "address_1": "19045 State Highway 305 NE Ste 190",
            "city": "Poulsbo",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983707312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.