Jennifer Susan Swenson

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61167540 Issued in WA

Practice address

119 S 3Rd St
McCleary, WA 98557-9652

Phone

(360) 482-5155

NPI assigned

Jan 6, 2022

Last updated

Jan 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1548921927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 279",
            "city": "MATLOCK",
            "state": "WA",
            "postal_code": "985600279",
            "telephone_number": "360-589-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S 3RD ST",
            "city": "MCCLEARY",
            "state": "WA",
            "postal_code": "985579652",
            "telephone_number": "360-482-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWENSON",
        "first_name": "JENNIFER",
        "middle_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61167540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Dawn Smith, SWAICL
• Paula Frances Soto, RN
• Darlene Steininger
• Sarah Strub
• Jacqueline Rachelle Summers
• Christian Taylor
• Telecare Mental Health Services of Washington, Inc (Telecare Mark Reed E&T)
• Asia Antoinette Thomas, RN
• Amanda Lee Tomasura, LSWAIC, MSW
• Geneva S Tzenov, FNP-C

• Massage Therapist in McCleary, WA
• Providers in McCleary, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.