Individual provider Active NPI

Onsiree Bumrungmuang

  • Massage Therapist
  • Lynnwood, WA
National Provider Identifier
1649908344
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60952004 Issued in WA
Practice address
6501 196TH St SW Ste C
Lynnwood, WA 98036-5980
Phone
(425) 775-2288
NPI assigned
Aug 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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 MA60952004 WA Primary

Addresses

Primary practice location

6501 196TH St SW Ste C
Lynnwood, WA 98036-5980

Mailing address

6501 196TH St SW Ste C
Lynnwood, WA 98036-5980
Phone (425) 775-2288

Other identifiers 1

IdentifierTypeStateIssuer
MA60952004OtherWAMASSAGE THERAPIST LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL soap

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
MA60952004WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeplus Health Centers, PS Massage Therapist CurrentSince Aug 14, 2022 Accepting new patients
Stephanie Greenall Massage Therapist PastSince Aug 14, 2022 Accepting new patients

Locations

6501 196th St SW
Ste C
Lynnwood, WA 98036
Phone (425) 775-2288

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.

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1649908344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 196TH ST SW STE C",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365980",
            "telephone_number": "425-775-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 196TH ST SW STE C",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365980",
            "telephone_number": "425-775-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMRUNGMUANG",
        "first_name": "ONSIREE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60952004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST LICENSE",
            "identifier": "MA60952004",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "soap",
            "affiliation": "N",
            "address_1": "6501 196th St SW Ste C",
            "city": "Lynnwood",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980365980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.