Individual provider Active NPI

Amber Brown, LMP

  • Massage Therapist
  • Port Orchard, WA
National Provider Identifier
1558735548
Registry record updated Nov 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60322798 Issued in WA
Practice address
2080 SE Sedgwick Rd
Suite 200
Port Orchard, WA 98366-7003
Phone
(360) 602-0475
Fax
(360) 443-6250
NPI assigned
Nov 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 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 MA60322798 WA Primary

Addresses

Primary practice location

2080 SE Sedgwick Rd
Suite 200
Port Orchard, WA 98366-7003

Mailing address

4257 Kellum Ranch Rd NW
Bremerton, WA 98312-9627
Phone (360) 362-9620

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
MA60322798WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1447459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447459200000",
    "number": "1558735548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4257 KELLUM RANCH RD NW",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983129627",
            "telephone_number": "360-362-9620",
            "fax_number": "360-443-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 SE SEDGWICK RD",
            "address_2": "SUITE 200",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983667003",
            "telephone_number": "360-602-0475",
            "fax_number": "360-443-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "AMBER",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-14",
        "last_updated": "2015-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60322798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.