Kristen C Jenkins, L.M.P.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00024312 Issued in WA

Practice address

10024 Main St Ste 2C
Bothell, WA 98011-3464

Phone

(425) 485-1413

NPI assigned

Sep 11, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bothell Chiropractic & Wellness, PLLC

  • Health Service Clinic/Center
  • Bothell, WA
  • NPI 1780851477
  NPD (past)

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1649465758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10024 MAIN ST STE 2C",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113464",
            "telephone_number": "360-421-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10024 MAIN ST STE 2C",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113464",
            "telephone_number": "425-485-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "KRISTEN",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "L.M.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00024312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA MASSAGE PRACTITIONER LICENSE",
            "identifier": "MA 00024312",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Janssen
• Katie Janz, CD
• Javid Osafi DMD PLLC
• Hassan Amin Jazaeri, D.D.S.
• Deborah J Jenkins, PT
• Jennifer Mao Stinde DDS PLLC
• Lauren B Jentges, DPT
• Jewel Psych & Wellness PLLC
• Richard Alan Houdek Jimenez, MD
• Melody Jin

• Massage Therapist in Bothell, WA
• Providers in Bothell, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.