Active NPI
Stacy Penny, LMT
- Specialist
- Freeland, WA
National Provider Identifier
1609057397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA00022531
- Practice address
- 5548 Myrtle Ave Ste 202
Freeland, WA 98249-8776 - Phone
- (360) 914-2068
- NPI assigned
- Nov 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA00022531 | WA | Primary |
Addresses
Primary practice location
5548 Myrtle Ave Ste 202
Freeland, WA 98249-8776
Mailing address
7019 High Meadow Dr
Clinton, WA 98236-8701
Phone (360) 914-2068
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA00022531 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bella Soul | Specialist | Past | Accepting new patients |
| Bella Soul Massagetherapy and Spa Inc. | Specialist | 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 and National Provider Directory roles.
-
- Specialist
- Burlington, WA
- NPI 1568706208
-
- Specialist
- Burlington, WA
- NPI 1215242599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765411200000",
"number": "1609057397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7019 HIGH MEADOW DR",
"city": "CLINTON",
"state": "WA",
"postal_code": "982368701",
"telephone_number": "360-914-2068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5548 MYRTLE AVE STE 202",
"city": "FREELAND",
"state": "WA",
"postal_code": "982498776",
"telephone_number": "360-914-2068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNY",
"first_name": "STACY",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-21",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA00022531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Freeland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.