Active NPI
Jamie Maloney, LMP
- Massage Therapist
- Kingston, WA
National Provider Identifier
1518322692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MASS.MA.60618541
- Practice address
- 26291 Pennsylvania Ave NE
Apt 305
Kingston, WA 98346-7681 - Phone
- (860) 620-7680
- NPI assigned
- Dec 16, 2015
- Last updated
- Dec 16, 2015
- 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 | MASS.MA.60618541 | WA | Primary |
Addresses
Primary practice location
26291 Pennsylvania Ave NE
Apt 305
Kingston, WA 98346-7681
Mailing address
26291 Pennsylvania Ave NE
Apt 305
Kingston, WA 98346-7681
Phone (860) 620-7680
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 |
|---|---|---|---|
| MASS.MA.60618541 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faith Ventures, LLC | Current | 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.
-
dba Maven Mane & Co.
- Durable Medical Equipment & Medical Supplies
- Timnath, CO
- NPI 1386527695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450224000000",
"number": "1518322692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26291 PENNSYLVANIA AVE NE",
"address_2": "APT 305",
"city": "KINGSTON",
"state": "WA",
"postal_code": "983467681",
"telephone_number": "860-620-7680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26291 PENNSYLVANIA AVE NE",
"address_2": "APT 305",
"city": "KINGSTON",
"state": "WA",
"postal_code": "983467681",
"telephone_number": "860-620-7680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONEY",
"first_name": "JAMIE",
"name_prefix": "Miss",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-16",
"last_updated": "2015-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MASS.MA.60618541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.