Active NPI
Jenine R Fisher, L.M.P.
- Massage Therapist
- Kirkland, WA
National Provider Identifier
1487904934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60301159
- Practice address
- 11930 Slater Ave NE
Kirkland, WA 98034-4175 - Phone
- (425) 825-0255
- NPI assigned
- Sep 12, 2012
- 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 | MA60301159 | WA | Primary |
Addresses
Primary practice location
11930 Slater Ave NE
Kirkland, WA 98034-4175
Mailing address
7425 NE 145TH PL
Kenmore, WA 98028-4923
Phone (425) 786-6993
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 |
|---|---|---|---|
| MA60301159 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347408000000",
"number": "1487904934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7425 NE 145TH PL",
"city": "KENMORE",
"state": "WA",
"postal_code": "980284923",
"telephone_number": "425-786-6993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11930 SLATER AVE NE",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980344175",
"telephone_number": "425-825-0255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "JENINE",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "L.M.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-12",
"last_updated": "2012-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60301159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.