Active NPI
Nichole Kathleen Allee, LMP
- Massage Therapist
- Kelso, WA
National Provider Identifier
1447535737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00025202
- Practice address
- 109 NW 1St St.
Kelso, WA 98626 - Phone
- (360) 423-3132
- Fax
- (360) 423-1890
- NPI assigned
- Oct 18, 2011
- Last updated
- Oct 18, 2011
- Sex
- Female
- Sole proprietor
- No
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 | MA00025202 | WA | Primary |
Addresses
Primary practice location
109 NW 1St St.
Kelso, WA 98626
Mailing address
109 NW 1St St.
Kelso, WA 98626
Phone (360) 423-3132
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 |
|---|---|---|---|
| MA00025202 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer M Fraser | Massage Therapist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318896000000",
"number": "1447535737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 NW 1ST ST.",
"city": "KELSO",
"state": "WA",
"postal_code": "98626",
"telephone_number": "360-423-3132",
"fax_number": "360-423-1890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 NW 1ST ST.",
"city": "KELSO",
"state": "WA",
"postal_code": "98626",
"telephone_number": "360-423-3132",
"fax_number": "360-423-1890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEE",
"first_name": "NICHOLE",
"middle_name": "KATHLEEN",
"name_prefix": "Ms.",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-18",
"last_updated": "2011-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00025202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kelso, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.