Active NPI
Ann Elizabeth Gardner, L.M.T.
- Massage Therapist
- Anacortes, WA
National Provider Identifier
1477763381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA15540
- Practice address
- 1116 17TH St. Anacortes Wa 98221
Anacortes, WA 98221 - Phone
- (360) 293-6277
- Fax
- (360) 350-5916
- NPI assigned
- May 22, 2007
- Last updated
- May 14, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | MA15540 | WA | Primary |
Addresses
Primary practice location
1116 17TH St. Anacortes Wa 98221
Anacortes, WA 98221
Mailing address
1116 17TH St.
Anacortes, WA 98221
Phone (360) 708-3072
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA15540 | Other | WA | MASSAGE LICENSE # |
| 0152422 | Other | WA | L&I NUMBER |
Other names 1
- Miss Ann Elizabeth Key
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 |
|---|---|---|---|
| MA15540 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chris Frost Chiropractic and Massage Therapy | 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.
-
- Chiropractor
- Anacortes, WA
- NPI 1083039564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1477763381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1116 17TH ST.",
"city": "ANACORTES",
"state": "WA",
"postal_code": "98221",
"telephone_number": "360-708-3072",
"fax_number": "360-755-9163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1116 17TH ST. ANACORTES WA 98221",
"city": "ANACORTES",
"state": "WA",
"postal_code": "98221",
"telephone_number": "360-293-6277",
"fax_number": "360-350-5916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "ANN",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA15540",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE LICENSE #",
"identifier": "MA15540",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I NUMBER",
"identifier": "0152422",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANN",
"last_name": "KEY",
"middle_name": "ELIZABETH",
"prefix": "MISS",
"credential": "L.M.P.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Anacortes, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.