Individual provider Active NPI

Justin Paul Hughes, L.M.P.

  • Nurse Massage Therapist (NMT)
  • Bainbridge Island, WA
National Provider Identifier
1386880003
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse Massage Therapist (NMT)Taxonomy code 163WM1400X
License
MA00007951 Issued in WA
Practice address
164 Knechtel Way NE
Bainbridge Island, WA 98110-2838
Phone
(206) 920-3996
Fax
(206) 920-3996
NPI assigned
Dec 30, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Massage Therapist (NMT) 163WM1400X MA00007951 WA Primary

Addresses

Primary practice location

164 Knechtel Way NE
Bainbridge Island, WA 98110-2838

Mailing address

2099 NE Victorian LN
D
Bainbridge Island, WA 98110-2326
Phone (206) 920-3996

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
MA00007951WAMDNurse Massage Therapist (NMT)

NPI Registry JSON

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271808000000",
    "number": "1386880003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2099 NE VICTORIAN LN",
            "address_2": "D",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102326",
            "telephone_number": "206-920-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 KNECHTEL WAY NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102838",
            "telephone_number": "206-920-3996",
            "fax_number": "206-920-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "JUSTIN",
        "middle_name": "PAUL",
        "credential": "L.M.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-30",
        "last_updated": "2010-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "WA",
            "license": "MA00007951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; 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.