Individual provider Active NPI

Holli Kristine Parker, L.M.P.

  • Massage Therapist
  • Mill Creek, WA
National Provider Identifier
1417183138
Registry record updated Jun 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00024745 Issued in WA
Practice address
800 164TH St SE
Suite N
Mill Creek, WA 98012-6301
Phone
(425) 742-6034
Fax
(425) 742-6035
NPI assigned
Jun 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2009

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 MA00024745 WA Primary

Addresses

Primary practice location

800 164TH St SE
Suite N
Mill Creek, WA 98012-6301

Mailing address

800 164TH St SE
Suite N
Mill Creek, WA 98012-6301
Phone (425) 742-6034

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
MA00024745WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mill Creek Wellness Center, PS Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244505600000",
    "number": "1417183138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 164TH ST SE",
            "address_2": "SUITE N",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980126301",
            "telephone_number": "425-742-6034",
            "fax_number": "425-742-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 164TH ST SE",
            "address_2": "SUITE N",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980126301",
            "telephone_number": "425-742-6034",
            "fax_number": "425-742-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "HOLLI",
        "middle_name": "KRISTINE",
        "name_prefix": "Mrs.",
        "credential": "L.M.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2009-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00024745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Creek, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.