Active NPI
Stephen Edmunds, LMP
- Massage Therapist
- Snoqualmie, WA
National Provider Identifier
1457772204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00008520
- Practice address
- 7726 Center Blvd SE
Suite 125
Snoqualmie, WA 98065-8748 - Phone
- (425) 396-0613
- Fax
- (425) 396-0614
- NPI assigned
- Dec 20, 2013
- Last updated
- Dec 20, 2013
- Sex
- Male
- 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 | MA00008520 | WA | Primary |
Addresses
Primary practice location
7726 Center Blvd SE
Suite 125
Snoqualmie, WA 98065-8748
Mailing address
7726 Center Blvd SE
Suite 125
Snoqualmie, WA 98065-8748
Phone (425) 396-0613
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 |
|---|---|---|---|
| MA00008520 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jason Green, PLLC | 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": "1387497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387497600000",
"number": "1457772204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7726 CENTER BLVD SE",
"address_2": "SUITE 125",
"city": "SNOQUALMIE",
"state": "WA",
"postal_code": "980658748",
"telephone_number": "425-396-0613",
"fax_number": "425-396-0614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7726 CENTER BLVD SE",
"address_2": "SUITE 125",
"city": "SNOQUALMIE",
"state": "WA",
"postal_code": "980658748",
"telephone_number": "425-396-0613",
"fax_number": "425-396-0614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDMUNDS",
"first_name": "STEPHEN",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-20",
"last_updated": "2013-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00008520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Snoqualmie, WA
- Cindy Ducar
- Darshana Dudgikar, MD
- Michele Marie Dunlap, N.D.
- Ron E Bennett, RPH
- Echo Glen Childrens Center (Department of Children, Youth, & Families)
- Elevating Expression Speech and Language PLLC (Elevating Expression)
- Elite Physical Therapy (Edge Phyiscal Therapy & Rehabilitation)
- Kelsey Ann McFarland Ellis, CTRS
- Benjamin Thomas Elsbrock
- Emerald Homecare
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.