Leslie-Anne Mathe Sivret, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00015574 Issued in WA

Practice address

22024 Marine View Dr S Ste 202
Des Moines, WA 98198-6230

Phone

(206) 235-1958

NPI assigned

Apr 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629293329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17968 MARINE VIEW DR SW",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981663626",
            "telephone_number": "206-235-1958",
            "fax_number": "206-241-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22024 MARINE VIEW DR S STE 202",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981986230",
            "telephone_number": "206-235-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVRET",
        "first_name": "LESLIE-ANNE",
        "middle_name": "MATHE",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00015574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.