Individual provider Active NPI

Amanda Leigh Holliday

  • Massage Therapist
  • Issaquah, WA
National Provider Identifier
1548448947
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00021538 Issued in WA
Practice address
1175 NW Gilman Blvd
Ste B-5
Issaquah, WA 98027-5399
Phone
(425) 313-8950
NPI assigned
Feb 7, 2008
Last updated
Feb 7, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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 MA00021538 WA Primary

Addresses

Primary practice location

1175 NW Gilman Blvd
Ste B-5
Issaquah, WA 98027-5399

Mailing address

10141 NE 64TH St
Apt. B
Kirkland, WA 98033-6819
Phone (509) 860-0531

Other names 1

  • Mandy Leigh Holliday Professional name

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
MA00021538WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Health Chiropractic Center PastSince Jan 23, 2017 Accepting new patients
Babuin Chiropractic Center Inc. Past Accepting new patients

Organizations & group practices 2

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": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1548448947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10141 NE 64TH ST",
            "address_2": "APT. B",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336819",
            "telephone_number": "509-860-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 NW GILMAN BLVD",
            "address_2": "STE B-5",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275399",
            "telephone_number": "425-313-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIDAY",
        "first_name": "AMANDA",
        "middle_name": "LEIGH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00021538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDY",
            "last_name": "HOLLIDAY",
            "middle_name": "LEIGH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.