Active NPI
Heidi Lee Johnson, LMP
- Massage Therapist
- Silverdale, WA
National Provider Identifier
1366709958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00016981
- Practice address
- 9216 Bayshore Dr NW
Suite 200
Silverdale, WA 98383-8533 - Phone
- (360) 692-4111
- NPI assigned
- Apr 19, 2012
- Last updated
- Aug 7, 2013
- 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 | MA00016981 | WA | Primary |
Addresses
Primary practice location
9216 Bayshore Dr NW
Suite 200
Silverdale, WA 98383-8533
Mailing address
9518 Wheeler Ave
Gig Harbor, WA 98332-2141
Phone (360) 774-1885
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 |
|---|---|---|---|
| MA00016981 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375833600000",
"number": "1366709958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9518 WHEELER AVE",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983322141",
"telephone_number": "360-774-1885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9216 BAYSHORE DR NW",
"address_2": "SUITE 200",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983838533",
"telephone_number": "360-692-4111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "HEIDI",
"middle_name": "LEE",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-19",
"last_updated": "2013-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00016981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.