Individual provider Active NPI

Tari Dawn Atkinson, L.M.P, L.M.T

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1639208002
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00013917 Issued in WA
Practice address
1811 Queen Anne Ave N
Suite #203
Seattle, WA 98109-2850
Phone
(206) 714-5015
Fax
(206) 352-5330
NPI assigned
Mar 3, 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 MA00013917 WA Primary

Addresses

Primary practice location

1811 Queen Anne Ave N
Suite #203
Seattle, WA 98109-2850

Mailing address

6201 15TH Ave NW
PMB #555
Seattle, WA 98107-2306
Phone (206) 714-5015

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
MA00013917WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639208002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 15TH AVE NW",
            "address_2": "PMB #555",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981072306",
            "telephone_number": "206-714-5015",
            "fax_number": "206-352-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 QUEEN ANNE AVE N",
            "address_2": "SUITE #203",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092850",
            "telephone_number": "206-714-5015",
            "fax_number": "206-352-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINSON",
        "first_name": "TARI",
        "middle_name": "DAWN",
        "name_prefix": "Miss",
        "credential": "L.M.P, L.M.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00013917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, 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.