Individual provider Active NPI

Brenna Hindman

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1467739821
Registry record updated Nov 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60247940 Issued in WA
Practice address
911 Western Ave
Suite 506
Seattle, WA 98104-3605
Phone
(303) 579-9565
NPI assigned
Nov 12, 2011
Last updated
Nov 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2011

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 MA60247940 WA Primary

Addresses

Primary practice location

911 Western Ave
Suite 506
Seattle, WA 98104-3605

Mailing address

518 Lakeside Ave S Apt 104
Seattle, WA 98144-2649
Phone (303) 579-9565

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
MA60247940WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1321056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321056000000",
    "number": "1467739821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 LAKESIDE AVE S APT 104",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442649",
            "telephone_number": "303-579-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 WESTERN AVE",
            "address_2": "SUITE 506",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043605",
            "telephone_number": "303-579-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINDMAN",
        "first_name": "BRENNA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-12",
        "last_updated": "2011-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60247940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.

Verify at the official NPI Registry.