Active NPI
Artjom Litvin, LMP
- Specialist
- Auburn, WA
National Provider Identifier
1629319496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA60228634
- Practice address
- 1101 Supermall Way Ste 1269
Auburn, WA 98001-6535 - Phone
- (360) 692-7321
- Fax
- (360) 692-1718
- NPI assigned
- Mar 4, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA60228634 | WA | Primary |
Addresses
Primary practice location
1101 Supermall Way Ste 1269
Auburn, WA 98001-6535
Mailing address
9889 Central Valley Rd NW
Bremerton, WA 98311-9131
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 |
|---|---|---|---|
| MA60228634 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Quest Massage Management, Inc | Past | Accepting new patients | |
| Kitsap Practice Management, Inc. | 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 and National Provider Directory roles.
-
- Massage Therapist
- Silverdale, WA
- NPI 1164725792
-
- Massage Therapist
- Auburn, WA
- NPI 1881997419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362355200000",
"number": "1629319496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9889 CENTRAL VALLEY RD NW",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983119131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 SUPERMALL WAY STE 1269",
"city": "AUBURN",
"state": "WA",
"postal_code": "980016535",
"telephone_number": "360-692-7321",
"fax_number": "360-692-1718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITVIN",
"first_name": "ARTJOM",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-04",
"last_updated": "2013-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA60228634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.