Individual provider Active NPI

Zefire M Skoczen, LMT, LAC

  • Massage Therapist
  • Issaquah, WA
National Provider Identifier
1669061024
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00013368 Issued in WA
Practice address
680 NW Gilman Blvd Ste a
Issaquah, WA 98027-2454
Phone
(425) 427-6562
NPI assigned
Jan 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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 MA00013368 WA Primary

Addresses

Primary practice location

680 NW Gilman Blvd Ste a
Issaquah, WA 98027-2454

Mailing address

4746 21St Ave SW
Seattle, WA 98106-1305
Phone (206) 225-0303

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address issaquahmgr@elementsmassage.com Other

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
MA00013368WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1669061024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4746 21ST AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981061305",
            "telephone_number": "206-225-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 NW GILMAN BLVD STE A",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272454",
            "telephone_number": "425-427-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOCZEN",
        "first_name": "ZEFIRE",
        "middle_name": "M",
        "credential": "LMT, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00013368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "issaquahmgr@elementsmassage.com",
            "affiliation": "N",
            "endpointDescription": "issaquahmgr@elementsmassage.com",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "receiving documents",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "680 NW Gilman Blvd Ste A",
            "city": "Issaquah",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980272454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.