Individual provider Active NPI

Nancy Jean Orr, L.M.P., N.C.B.T.M.B

  • Massage Therapist
  • Mount Vernon, WA
National Provider Identifier
1417021668
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00021828 Issued in WA
Practice address
2118 Riverside Dr
Suite #105
Mount Vernon, WA 98273-5454
Phone
(360) 424-6104
Fax
(360) 424-6009
NPI assigned
Nov 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00021828 WA Primary

Addresses

Primary practice location

2118 Riverside Dr
Suite #105
Mount Vernon, WA 98273-5454

Mailing address

6719 State Route 9
Sedro Woolley, WA 98284-9692
Phone (360) 391-3633

Other identifiers 1

IdentifierTypeStateIssuer
0205627OtherWADEPT. OF L & I PROVIDER #

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
MA00021828WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Spine PastSince Nov 27, 2016 Accepting new patients
Cook Chiropractic, PLLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417021668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6719 STATE ROUTE 9",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982849692",
            "telephone_number": "360-391-3633",
            "fax_number": "360-856-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 RIVERSIDE DR",
            "address_2": "SUITE #105",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735454",
            "telephone_number": "360-424-6104",
            "fax_number": "360-424-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORR",
        "first_name": "NANCY",
        "middle_name": "JEAN",
        "credential": "L.M.P., N.C.B.T.M.B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00021828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF L & I PROVIDER #",
            "identifier": "0205627",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.