Essie Stouffer Hicks, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00012579 Issued in WA

Practice address

503 1St St S
Yelm, WA 98597-7634

Phone

(425) 310-2441

NPI assigned

Mar 21, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dreamspace Enterprises PLLC

  • Massage Therapist
  • Yelm, WA
  • NPI 1366391070
  NPD Authorized official

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1649972514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 88TH AVE SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985127620",
            "telephone_number": "425-310-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 1ST ST S",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985977634",
            "telephone_number": "425-310-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "ESSIE",
        "middle_name": "STOUFFER",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00012579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iris Harrison, LMP
• Vanessa Hartley, RN
• Brian Harvey, DNP, ARNP, FNP-BC
• Heart 2 Heart Homecare LLC
• Mariana M Heinitz, DPT
• Jessica Lynn Hicks
• Shelli Hill
• Kha Hoang, MA61112149
• Hope for Heroes Horsemanship Center
• Connie Hopkins

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.