NPIMap

Individual provider Active NPI

Amber N Whittenberg, LMP

  • Massage Therapist
  • Lacey, WA
National Provider Identifier
1669617791
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60046340 Issued in WA
Practice address
4444 Lacey Blvd SE
Suite Number E
Lacey, WA 98503-5730
Phone
(360) 438-1998
NPI assigned
Dec 3, 2008
Last updated
Aug 19, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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 MA60046340 WA Primary

Addresses

Primary practice location

4444 Lacey Blvd SE
Suite Number E
Lacey, WA 98503-5730

Mailing address

PO Box 5859
Lacey, WA 98509-5859
Phone (253) 509-4292

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
MA60046340WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Corrective Chiropractic Care Massage Therapist Past Accepting new patients
Corrective Chiropractic Care, Inc. PS Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1669617791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5859",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985095859",
            "telephone_number": "253-509-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 LACEY BLVD SE",
            "address_2": "SUITE NUMBER E",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035730",
            "telephone_number": "360-438-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTENBERG",
        "first_name": "AMBER",
        "middle_name": "N",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-03",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60046340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.