Jennifer L McLaughlin, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61049187 Issued in WA

Practice address

4717 W Cross Cut Rd
Deer Park, WA 99006-9789

Phone

(509) 939-0609

NPI assigned

Mar 10, 2020

Last updated

Mar 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Jennifer L Honnold Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1396370250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 W CROSS CUT RD",
            "city": "DEER PARK",
            "state": "WA",
            "postal_code": "990069789",
            "telephone_number": "509-939-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4717 W CROSS CUT RD",
            "city": "DEER PARK",
            "state": "WA",
            "postal_code": "990069789",
            "telephone_number": "509-939-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAUGHLIN",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61049187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HONNOLD",
            "middle_name": "L",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Magennis, CRNA
• Mahanaim Psychology Services, PLLC
• Jeremy Kyle Marcuson, O.D.
• Melissa Ann McCollough, LMP
• Lori T McDonald, HIS, AAS
• Andrea Janelle Melton, DENTAL HYGIENIST
• Ward Merkeley, MD
• Greg W Miller, DDS
• Jay E Mitchell, MA, MFT
• Madison Alyssa Montano, PTA

• Massage Therapist in Deer Park, WA
• Providers in Deer Park, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.