Active NPI
Nicole Rae Tilson, LMT
- Massage Therapist
- Seattle, WA
National Provider Identifier
1437715307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60890321
- Practice address
- 1420 E Madison St # 1
Seattle, WA 98122-7022 - Phone
- (206) 327-9328
- NPI assigned
- May 15, 2019
- Sex
- Female
- 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 | MA60890321 | WA | Primary |
Addresses
Primary practice location
1420 E Madison St # 1
Seattle, WA 98122-7022
Mailing address
5341 16TH Ave S
Seattle, WA 98108-2344
Phone (360) 908-8825
Other practice location 1
5341 16th Ave S
Seattle, WA 98108-2344
Phone (360) 908-8825
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 |
|---|---|---|---|
| MA60890321 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health First Chiropractic Inc. 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.
-
- Chiropractor
- Seattle, WA
- NPI 1720360118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557878400000",
"number": "1437715307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5341 16TH AVE S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981082344",
"telephone_number": "360-908-8825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 E MADISON ST # 1",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981227022",
"telephone_number": "206-327-9328"
}
],
"practiceLocations": [
{
"address_1": "5341 16th Ave S",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981082344",
"country_code": "US",
"telephone_number": "360-908-8825",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TILSON",
"first_name": "NICOLE",
"middle_name": "RAE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-15",
"last_updated": "2019-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60890321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.