Active NPI
Jeffrey S Evans, LMP, CHP
- Massage Therapist
- Arlington, WA
National Provider Identifier
1427108448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA0021797
- Practice address
- 16410 35TH Avenue NE, Ste 309
Arlington, WA 98223 - Phone
- (360) 658-0240
- Fax
- (360) 658-5585
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA0021797 | WA | Primary |
Addresses
Primary practice location
16410 35TH Avenue NE, Ste 309
Arlington, WA 98223
Mailing address
16410 35TH Avenue NE, Ste 309
Arlington, WA 98223
Phone (360) 658-0240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0206678 | Other | WA | L&I PROVIDER NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA0021797 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427108448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16410 35TH AVENUE NE, STE 309",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "98223",
"telephone_number": "360-658-0240",
"fax_number": "360-658-5585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16410 35TH AVENUE NE, STE 309",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "98223",
"telephone_number": "360-658-0240",
"fax_number": "360-658-5585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "JEFFREY",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "LMP, CHP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA0021797",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I PROVIDER NUMBER",
"identifier": "0206678",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arlington, WA
- Modupeore Equere
- Alan D Erickson, D.D.S.
- Ernst Chiropractic Clinic PS
- Essential Wellness Integrative Medicine and Acupuncture, PLLC
- Etemadi & Chen PLLC (Cascade Endodontics)
- Mary P Evans, PTA, BS, LMP, CHP
- Sarah M. Evans, ARNP
- Karen Lee Everett, D.D.S
- Shawnna Failla, LMT
- Sarah Kae Faragher, MA60504644
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.