Individual provider Active NPI

Kathleen A Appleyard, LMP

  • Massage Therapist
  • Normandy Park, WA
National Provider Identifier
1609914472
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00006566 Issued in WA
Practice address
20612 Marine View Dr SW
Normandy Park, WA 98166-4238
Phone
(206) 824-7085
NPI assigned
Feb 2, 2007
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 MA00006566 WA Primary

Addresses

Primary practice location

20612 Marine View Dr SW
Normandy Park, WA 98166-4238

Mailing address

20612 Marine View Dr SW
Normandy Park, WA 98166-4238
Phone (206) 824-7085

Other names 1

  • Kathleen A Gillman Former name

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
MA00006566WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609914472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20612 MARINE VIEW DR SW",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981664238",
            "telephone_number": "206-824-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20612 MARINE VIEW DR SW",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981664238",
            "telephone_number": "206-824-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPLEYARD",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00006566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "GILLMAN",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Normandy Park, 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.