Active NPI
Haunani Dawn Atwood, LMT
- Massage Therapist
- Tumwater, WA
National Provider Identifier
1447591011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60319176
- Practice address
- 111 Tumwater Blvd SE Ste C213
Tumwater, WA 98501-6400 - Phone
- (360) 706-2674
- Fax
- (360) 634-3565
- NPI assigned
- Mar 7, 2013
- Last updated
- Jul 5, 2022
- 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 | MA60319176 | WA | Primary |
Addresses
Primary practice location
111 Tumwater Blvd SE Ste C213
Tumwater, WA 98501-6400
Mailing address
111 Tumwater Blvd SE Ste C213
Tumwater, WA 98501-6400
Phone (360) 706-2674
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 |
|---|---|---|---|
| MA60319176 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer Koch, Psy.D., PLLC | Current | Accepting new patients | |
| Derma PLLC | Past | Accepting new patients |
Locations
111 Tumwater Blvd SE
Ste C213
Tumwater, WA 98501
Phone (360) 706-2674
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Bloom and Blossom Wellness Spa
- Psychologist
- Tumwater, WA
- NPI 1184355562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656979200000",
"number": "1447591011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 TUMWATER BLVD SE STE C213",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985016400",
"telephone_number": "360-706-2674",
"fax_number": "360-634-3565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 TUMWATER BLVD SE STE C213",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985016400",
"telephone_number": "360-706-2674",
"fax_number": "360-634-3565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATWOOD",
"first_name": "HAUNANI",
"middle_name": "DAWN",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-07",
"last_updated": "2022-07-05",
"certification_date": "2022-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60319176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tumwater, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.