Individual provider Active NPI

Nicole Rae Tilson, LMT

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1437715307
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60890321 Issued in WA
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

Updated by the provider on May 15, 2019

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 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

LicenseStateTypeSpecialty
MA60890321WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.