Amy Parker, MA60811584

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60811584 Issued in WA

Practice address

22002 64TH Ave W BLDG 3
Mountlake Terrace, WA 98043-2528

Phone

(206) 790-0195

Fax

(206) 801-1029

NPI assigned

Jan 6, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Amy Brown Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1447899539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23014 EDMONDS WAY UNIT 207",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980205064",
            "telephone_number": "206-790-0195",
            "fax_number": "206-801-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22002 64TH AVE W BLDG 3",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432528",
            "telephone_number": "206-790-0195",
            "fax_number": "206-801-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "MA60811584",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60811584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BROWN",
            "prefix": "MRS.",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexandra Jamie Pales, ARNP
• Celia Palmer, LMHC
• Lynnette Elivra Palmer
• Susanne Paris, M.S.L.M.H.C.
• Salley Ko Eun Park, PHARMD
• Patricia D Parker, MFT
• Tameka Parker
• David R Penner, PH.D.
• Katrina Perez Smith
• Christopher J Peterson, PHD, MA, LMHC-A

• Massage Therapist in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.