Active NPI
Jennifer Anne Lopez Santillana, LMT
- Massage Therapist
- Shoreline, WA
National Provider Identifier
1619475670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60809656
- Practice address
- 18021 15TH Ave NE Ste 200
Shoreline, WA 98155-3806 - Phone
- (206) 524-1330
- Fax
- (206) 729-0433
- NPI assigned
- Jan 24, 2018
- Last updated
- Jan 24, 2018
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60809656 | WA | Primary |
Addresses
Primary practice location
18021 15TH Ave NE Ste 200
Shoreline, WA 98155-3806
Mailing address
615 37TH Ave
Seattle, WA 98122-6421
Phone (206) 605-5676
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 |
|---|---|---|---|
| MA60809656 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tong Corp | Past | Accepting new patients | |
| Tongsingyiu, LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Shoreline, WA
- NPI 1154593093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516752000000",
"number": "1619475670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 37TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981226421",
"telephone_number": "206-605-5676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18021 15TH AVE NE STE 200",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981553806",
"telephone_number": "206-524-1330",
"fax_number": "206-729-0433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ SANTILLANA",
"first_name": "JENNIFER",
"middle_name": "ANNE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-24",
"last_updated": "2018-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60809656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shoreline, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.