Individual provider Active NPI

Andrea J. Crawford, LMP, LMT

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1396791554
Registry record updated Mar 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00015927 Issued in WA
Practice address
316 E Fourth Plain Blvd
Ste. B
Vancouver, WA 98663-3074
Phone
(360) 601-5206
Fax
(360) 635-4429
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00015927 WA Primary
Massage Therapist 225700000X 8074 OR

Addresses

Primary practice location

316 E Fourth Plain Blvd
Ste. B
Vancouver, WA 98663-3074

Mailing address

22809 NE 223Rd St
Battle Ground, WA 98604-5066
Phone (360) 601-5206

Other names 1

  • Andrea J. Klinger Former name

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
8074ORMDMassage Therapist
MA00015927WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237680000000",
    "number": "1396791554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22809 NE 223RD ST",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986045066",
            "telephone_number": "360-601-5206",
            "fax_number": "360-635-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 E FOURTH PLAIN BLVD",
            "address_2": "STE. B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633074",
            "telephone_number": "360-601-5206",
            "fax_number": "360-635-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "ANDREA",
        "middle_name": "J.",
        "credential": "LMP, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2009-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00015927",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "8074",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "KLINGER",
            "middle_name": "J.",
            "credential": "LMP, LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2009; 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.