Active NPI
Xiaoqing Jin, MA 61324090
- Massage Therapist
- Lacey, WA
National Provider Identifier
1477289858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 61324090
- Practice address
- 3663 College St SE Ste F
Lacey, WA 98503 - Phone
- (360) 888-3450
- NPI assigned
- Jul 27, 2022
- Last updated
- Sep 29, 2026
- 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 | 61324090 | WA | Primary |
Addresses
Primary practice location
3663 College St SE Ste F
Lacey, WA 98503
Mailing address
1939 71St Ave SE
Tumwater, WA 98501-6149
Phone (360) 643-1069
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61324090 | Other | WA | MASSAGE THERAPIST |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61324090 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Viridian PLLC | Massage Therapist | Current | Accepting new patients |
Locations
3663 College St SE
Ste F
Lacey, WA 98503
Phone (360) 584-0054
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": "1658880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1477289858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1939 71ST AVE SE",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985016149",
"telephone_number": "360-643-1069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3663 COLLEGE ST SE STE F",
"city": "LACEY",
"state": "WA",
"postal_code": "98503",
"telephone_number": "360-888-3450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIN",
"first_name": "XIAOQING",
"credential": "MA 61324090",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-27",
"last_updated": "2026-09-29",
"certification_date": "2022-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "61324090",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPIST",
"identifier": "61324090",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.