Individual provider Active NPI

Madelaine Claire King, LMT

  • Massage Therapist
  • Everett, WA
National Provider Identifier
1417580804
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61029001 Issued in WA
Practice address
4322 Rucker Ave
Everett, WA 98203-2233
Phone
(425) 258-5454
NPI assigned
Feb 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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 MA61029001 WA Primary

Addresses

Primary practice location

4322 Rucker Ave
Everett, WA 98203-2233

Mailing address

18222 Smokey Point Blvd Unit 14
Arlington, WA 98223-1809
Phone (360) 853-5166

Other practice location 1

160 Roy St Ste 100
Seattle, WA 98109-4162
Phone (206) 453-4137

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
MA61029001WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Soul Massagetherapy and Spa Inc. PastSince Feb 1, 2020 Accepting new patients
Bella Soul PastSince Feb 1, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1417580804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18222 SMOKEY POINT BLVD UNIT 14",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231809",
            "telephone_number": "360-853-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4322 RUCKER AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032233",
            "telephone_number": "425-258-5454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Roy St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981094162",
            "country_code": "US",
            "telephone_number": "206-453-4137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "MADELAINE",
        "middle_name": "CLAIRE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-13",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61029001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.