Active NPI
Kerri Jesse, LMT
- Massage Therapist
- Mount Vernon, WA
National Provider Identifier
1609387844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60195656
- Practice address
- 1400 Riverside Dr Ste a
Mount Vernon, WA 98273-5001 - Phone
- (360) 899-5105
- NPI assigned
- Oct 16, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60195656 | WA | Primary |
Addresses
Primary practice location
1400 Riverside Dr Ste a
Mount Vernon, WA 98273-5001
Mailing address
210 N 23Rd St
Mount Vernon, WA 98273-3651
Phone (206) 227-6233
Other practice location 1
210 N 23rd st
Mount Vernon, WA 98273
Phone (206) 227-6233
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 |
|---|---|---|---|
| MA60195656 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1609387844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 N 23RD ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982733651",
"telephone_number": "206-227-6233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 RIVERSIDE DR STE A",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982735001",
"telephone_number": "360-899-5105"
}
],
"practiceLocations": [
{
"address_1": "210 N 23rd st",
"address_purpose": "LOCATION",
"city": "Mount Vernon",
"state": "WA",
"postal_code": "98273",
"country_code": "US",
"telephone_number": "206-227-6233",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JESSE",
"first_name": "KERRI",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-16",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60195656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.