Nathanael Ross Jackson, L.M.P.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60208070 Issued in WA

Practice address

355 Linhart Ave NE
Napavine, WA 98565

Phone

(360) 266-8800

Fax

(360) 266-8700

NPI assigned

May 4, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Napavine Family Chiropractic, PS

  • Chiropractor
  • Napavine, WA
  • NPI 1275577140
  NPD (past)

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304467200000",
    "number": "1366734758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 329",
            "city": "NAPAVINE",
            "state": "WA",
            "postal_code": "98565",
            "telephone_number": "360-266-8800",
            "fax_number": "360-266-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 LINHART AVE NE",
            "city": "NAPAVINE",
            "state": "WA",
            "postal_code": "98565",
            "telephone_number": "360-266-8800",
            "fax_number": "360-266-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "NATHANAEL",
        "middle_name": "ROSS",
        "credential": "L.M.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60208070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leena Maria Divecha, SLP CCC
• Family Health Clinic of Chiropractic PS
• Michael Foster, D.C.
• Kimberly Garcia, RN
• Sherri L Heilman, LMP
• L G Steck Memorial Clinic P S
• Lewis County
• Lewis County Autism Coalition
• Lewis County Fire District No 5
• Lewis County Pediatrics and Family Medicine

• Massage Therapist in Napavine, WA
• Providers in Napavine, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.