Individual provider Active NPI

Emily Jane Gammell, LMP

  • Massage Therapist
  • Mill Creek, WA
National Provider Identifier
1598250391
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
60147757 Issued in WA
Practice address
16708 Bothell Everett Hwy Ste 202
Mill Creek, WA 98012-6345
Phone
(425) 286-2712
NPI assigned
Jun 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X
Massage Therapist 225700000X 60147757 WA Primary

Addresses

Primary practice location

16708 Bothell Everett Hwy Ste 202
Mill Creek, WA 98012-6345

Mailing address

8321 4TH St NE
Lake Stevens, WA 98258-3323
Phone (425) 999-7797

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
60147757WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Marcus Fricke Professional Servie Corporation 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1598250391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8321 4TH ST NE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982583323",
            "telephone_number": "425-999-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16708 BOTHELL EVERETT HWY STE 202",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980126345",
            "telephone_number": "425-286-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMMELL",
        "first_name": "EMILY",
        "middle_name": "JANE",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "60147757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Creek, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.