Individual provider Active NPI

Jamie Maloney, LMP

  • Massage Therapist
  • Kingston, WA
National Provider Identifier
1518322692
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MASS.MA.60618541 Issued in WA
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, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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 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

LicenseStateTypeSpecialty
MASS.MA.60618541WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.