Active NPI
Jeannie S. Wright, LMP, CYI
- Massage Therapist
- Seattle, WA
National Provider Identifier
1548405806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 60425265
- Practice address
- 10021 Holman Rd NW
Seattle, WA 98177-4920 - Phone
- (206) 632-8300
- NPI assigned
- Dec 15, 2008
- Last updated
- Jan 14, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Massage Therapist | 225700000X | MA 60425265 | WA | Primary |
| Massage Therapist | 225700000X | MT 0007629 | CO |
Addresses
Primary practice location
10021 Holman Rd NW
Seattle, WA 98177-4920
Mailing address
1019 NE Perkins Way
Shoreline, WA 98155-2261
Phone (206) 302-9637
Other names 1
- Jeannie S Davis
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 |
|---|---|---|---|
| MT 0007629 | CO | MD | Massage Therapist |
| MA 60425265 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seattle MFR, LLC | Massage Therapist | 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, 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": "1229299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389657600000",
"number": "1548405806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1019 NE PERKINS WAY",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981552261",
"telephone_number": "206-302-9637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10021 HOLMAN RD NW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981774920",
"telephone_number": "206-632-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "JEANNIE",
"middle_name": "S.",
"credential": "LMP, CYI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-15",
"last_updated": "2014-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA 60425265",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "MT 0007629",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEANNIE",
"last_name": "DAVIS",
"middle_name": "S",
"credential": "LMP, CYI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.