Active NPI
Susan A Schlosser, LMP
- Massage Therapist
- Mountlake Terrace, WA
National Provider Identifier
1457424368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 4682
- Practice address
- 22002 64TH Ave W
Suite 12
Mountlake Terrace, WA 98043-2528 - Phone
- (425) 778-6561
- Fax
- (425) 743-3117
- NPI assigned
- Nov 16, 2006
- 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 | 4682 | WA | Primary |
Addresses
Primary practice location
22002 64TH Ave W
Suite 12
Mountlake Terrace, WA 98043-2528
Mailing address
14310 Lake Road
Lynnwood, WA 98087-1700
Phone (425) 778-6561
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5742SC | Other | REGENCE BLUE SHIELD | |
| 5064500 | Other | AETNA INSURANCE |
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 |
|---|---|---|---|
| 4682 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300752000000",
"number": "1457424368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14310 LAKE ROAD",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980871700",
"telephone_number": "425-778-6561",
"fax_number": "425-743-3117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22002 64TH AVE W",
"address_2": "SUITE 12",
"city": "MOUNTLAKE TERRACE",
"state": "WA",
"postal_code": "980432528",
"telephone_number": "425-778-6561",
"fax_number": "425-743-3117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHLOSSER",
"first_name": "SUSAN",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2011-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "4682",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "5742SC",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INSURANCE",
"identifier": "5064500",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mountlake Terrace, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.