Individual provider Active NPI

Sarah M Merickel, LMP

  • Massage Therapist
  • Mount Vernon, WA
National Provider Identifier
1497898217
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00010563 Issued in WA
Practice address
1621 Freeway Dr Ste 208
Mount Vernon, WA 98273-2469
Phone
(425) 268-0981
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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 MA00010563 WA Primary

Addresses

Primary practice location

1621 Freeway Dr Ste 208
Mount Vernon, WA 98273-2469

Mailing address

PO Box 541
Stanwood, WA 98292-0541
Phone (425) 268-0981

Other practice location 1

16910 59th Ave NE
214
Arlington, WA 98223-3725
Phone (425) 268-0981

Other practice location 2

520 S 1st St Ste 208
Mount Vernon, WA 98273
Phone (425) 268-0981

Other identifiers 2

IdentifierTypeStateIssuer
116026OtherWALABOR & INDUSTRIES
BA9256OtherWAREGENCE BLUESHIELD

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
MA00010563WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1497898217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 541",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982920541",
            "telephone_number": "425-268-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 FREEWAY DR STE 208",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732469",
            "telephone_number": "425-268-0981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16910 59th Ave NE",
            "address_2": "214",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "WA",
            "postal_code": "982233725",
            "country_code": "US",
            "telephone_number": "425-268-0981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 S 1st St Ste 208",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "WA",
            "postal_code": "98273",
            "country_code": "US",
            "telephone_number": "425-268-0981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERICKEL",
        "first_name": "SARAH",
        "middle_name": "M",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00010563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "116026",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUESHIELD",
            "identifier": "BA9256",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.