Individual provider Active NPI

Jonna Lee Oliveres-Chang, L.M.P.

  • Massage Therapist
  • Bellingham, WA
National Provider Identifier
1588873251
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00019952 Issued in WA
Practice address
301 W Holly St
Suite M3
Bellingham, WA 98225-4358
Phone
(360) 820-0999
NPI assigned
May 21, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MA00019952 WA Primary

Addresses

Primary practice location

301 W Holly St
Suite M3
Bellingham, WA 98225-4358

Mailing address

2281 Douglas Rd
Ferndale, WA 98248-9555
Phone (360) 820-0999

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
MA00019952WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588873251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2281 DOUGLAS RD",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982489555",
            "telephone_number": "360-820-0999",
            "fax_number": "360-922-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W HOLLY ST",
            "address_2": "SUITE M3",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254358",
            "telephone_number": "360-820-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVERES-CHANG",
        "first_name": "JONNA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "L.M.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00019952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.