NPIMap

Individual provider Active NPI

Alissia Yvette Fabre, LMT

  • Massage Therapist
  • Everett, WA
National Provider Identifier
1447573183
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 60113255 Issued in WA
Practice address
4418 Rucker Ave
Suite a
Everett, WA 98203-2397
Phone
(425) 258-1969
Fax
(425) 259-5466
NPI assigned
Mar 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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 MA 60113255 WA Primary

Addresses

Primary practice location

4418 Rucker Ave
Suite a
Everett, WA 98203-2397

Mailing address

4418 Rucker Ave
Suite a
Everett, WA 98203-2397
Phone (425) 258-1969

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
MA 60113255WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Schmidt Family Chiropractic PLLC Past Accepting new patients
Annie Schmidt Chiropractic PLLC PastSince Jul 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": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1447573183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4418 RUCKER AVE",
            "address_2": "SUITE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032397",
            "telephone_number": "425-258-1969",
            "fax_number": "425-259-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4418 RUCKER AVE",
            "address_2": "SUITE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032397",
            "telephone_number": "425-258-1969",
            "fax_number": "425-259-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABRE",
        "first_name": "ALISSIA",
        "middle_name": "YVETTE",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60113255",
            "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 Mar 9, 2010; 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.