Individual provider Active NPI

Kerri Suzanne Norman, LMP

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1508192501
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 14636 Issued in WA
Practice address
8221 NE Hazel Dell Ave Ste 104
Vancouver, WA 98665-8153
Phone
(360) 573-0729
NPI assigned
Oct 26, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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 MA 14636 WA Primary

Addresses

Primary practice location

8221 NE Hazel Dell Ave Ste 104
Vancouver, WA 98665-8153

Mailing address

8221 NE Hazel Dell Ave Ste 104
Vancouver, WA 98665-8153
Phone (360) 573-0729

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
MA 14636WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hagen Chiropractic Group, Inc., P.C. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256515200000",
    "number": "1508192501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8221 NE HAZEL DELL AVE STE 104",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658153",
            "telephone_number": "360-573-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8221 NE HAZEL DELL AVE STE 104",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658153",
            "telephone_number": "360-573-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "KERRI",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-26",
        "last_updated": "2009-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 14636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.