Krystin Coughlin, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00021060 Issued in WA

Practice address

4017 A St SE
Suite 101
Auburn, WA 98002-8607

Phone

(253) 939-8144

NPI assigned

Nov 8, 2006

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 identifiers 3

Other names 1

• Krystin Durko 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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1477623742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 A ST SE",
            "address_2": "SUITE 101",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980028607",
            "telephone_number": "253-939-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4017 A ST SE",
            "address_2": "SUITE 101",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980028607",
            "telephone_number": "253-939-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUGHLIN",
        "first_name": "KRYSTIN",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00021060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "3669CO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR & INDUSTRY",
            "identifier": "198448",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8906263",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTIN",
            "last_name": "DURKO",
            "credential": "LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kyla Cosme
• Corey Edward Cotton, MA
• Elena Marie Cotton, LCSW
• Elizabeth Ann Cotton, LMFT
• Deborah Ann Coughlin, ARNP: AP30007936
• Cove Residential Homes LLC
• Maria E Cox, CPC
• Nicholas John Cox
• Kaory Coyt-Garcia, BSN, RN
• Karen Hsueh Crabb, RPH

• Massage Therapist in Auburn, WA
• Providers in Auburn, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.