Anna M Jewell, L.M.P.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA602224767 Issued in WA

Practice address

7700 Pioneer Way
Suite 101
Gig Harbor, WA 98335-1156

Phone

(253) 509-0258

NPI assigned

Jul 3, 2012

Sex

Female

Sole proprietor

No

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.

• Blue Moon Massage Studio, LLC

  • Contractor
  • Gig Harbor, WA
  • NPI 1174952964
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 21, 2013.

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1609130780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7019 85TH ST NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983326795",
            "telephone_number": "202-420-8948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 PIONEER WAY",
            "address_2": "SUITE 101",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351156",
            "telephone_number": "253-509-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEWELL",
        "first_name": "ANNA",
        "middle_name": "M",
        "credential": "L.M.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-03",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA602224767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ka Ning Jellison, PHARMD
• Jennifer Scroggie PLLC
• Richard Frederick Jensen, PH.D.
• Robert Dean Jensen, M.D.
• Jessica Yearwood MD PLLC
• Michael James Jewell, LMT
• Praba Jeyalingam, M.D.
• Jill E. Hansen DDS, PS
• Xiang Jing, ARNP
• John a. Hodges DDS & Daniel Lee DDS, PLLC

• All providers in Gig Harbor, WA
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.