Active NPI
Justin Paul Hughes, L.M.P.
- Nurse Massage Therapist (NMT)
- Bainbridge Island, WA
National Provider Identifier
1386880003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Massage Therapist (NMT)
- License
- MA00007951
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MA00007951 | WA | MD | Nurse 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.