Individual provider Active NPI

Kristan Nicole French, LMP

  • Massage Therapist
  • Gig Harbor, WA
National Provider Identifier
1508269176
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60503671 Issued in WA
Practice address
11430 51St Ave NW
Suite 101 a
Gig Harbor, WA 98332-7897
Phone
(253) 857-6500
Fax
(253) 857-2225
NPI assigned
Sep 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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 MA60503671 WA Primary

Addresses

Primary practice location

11430 51St Ave NW
Suite 101 a
Gig Harbor, WA 98332-7897

Mailing address

71 Eagleview LN
Port Ludlow, WA 98365-9283
Phone (360) 301-1101

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
MA60503671WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gig Harbor Wellness, PS PastSince May 1, 2007 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": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1508269176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 EAGLEVIEW LN",
            "city": "PORT LUDLOW",
            "state": "WA",
            "postal_code": "983659283",
            "telephone_number": "360-301-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11430 51ST AVE NW",
            "address_2": "SUITE 101 A",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983327897",
            "telephone_number": "253-857-6500",
            "fax_number": "253-857-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRENCH",
        "first_name": "KRISTAN",
        "middle_name": "NICOLE",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-26",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60503671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

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