Organization Active NPI

Meghan Devonport, LMP

  • Health Service Clinic/Center
  • Seattle, WA
National Provider Identifier
1396381653
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
MEGHAN DEVONPORT, LMP
Practice address
1417 NW 54TH St Ste 455
Seattle, WA 98107-3564
Phone
(561) 843-5935
NPI assigned
Nov 21, 2019
Last updated
Nov 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Authorized official

Name
Mrs. Meghan Devonport, LMP
Title
Massage Therapist/Business Owner
Phone
(561) 843-5935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

1417 NW 54TH St Ste 455
Seattle, WA 98107-3564

Mailing address

3318 159TH LN SW
Lynnwood, WA 98087-1545
Phone (561) 843-5935

Other identifiers 1

IdentifierTypeStateIssuer
1962651976MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL meghandevonport.com Direct

National Provider Directory

National Provider Directory

Locations

1417 NW 54th St
Ste 455
Seattle, WA 98107
Phone (561) 843-5935

NPI Registry JSON

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1396381653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3318 159TH LN SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980871545",
            "telephone_number": "561-843-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 NW 54TH ST STE 455",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073564",
            "telephone_number": "561-843-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGHAN DEVONPORT, LMP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "DEVONPORT",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "MASSAGE THERAPIST/BUSINESS OWNER",
        "authorized_official_telephone_number": "561-843-5935",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962651976",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "meghandevonport.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1417 NW 54th St Ste 455",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981073564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.