Ann E Fain, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00009789 Issued in WA

Practice address

9144 Burnett Rd SE
Yelm, WA 98597-8488

Phone

(360) 292-9320

NPI assigned

Apr 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574899200000",
    "number": "1649499310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22724 BRIARWOOD CT SE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978982",
            "telephone_number": "360-290-3376",
            "fax_number": "360-458-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9144 BURNETT RD SE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978488",
            "telephone_number": "360-292-9320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 YELM AVE. EAST",
            "address_purpose": "LOCATION",
            "city": "YELM",
            "state": "WA",
            "postal_code": "98597",
            "country_code": "US",
            "telephone_number": "360-292-9320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIN",
        "first_name": "ANN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2019-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00009789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kalima77@fairpoint.net",
            "affiliation": "N",
            "address_1": "9144 Burnett Rd SE",
            "city": "Yelm",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985978488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2019; 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.