Active NPI
Jessica Catherine Akers, LMT
- Massage Therapist
- Mill Creek, WA
National Provider Identifier
1679104996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA61014649
- Practice address
- 15418 Main St Unit M106
Mill Creek, WA 98012-9021 - Phone
- (425) 742-6034
- NPI assigned
- Jan 27, 2020
- Last updated
- Jan 27, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA61014649 | WA | Primary |
Addresses
Primary practice location
15418 Main St Unit M106
Mill Creek, WA 98012-9021
Mailing address
10422 208TH Ave SE
Snohomish, WA 98290-7220
Phone (425) 280-7105
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA61014649 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mill Creek Wellness Center, PS | Current | Accepting new patients |
Locations
15418 Main St
Unit M106
Mill Creek, WA 98012
Phone (425) 742-6034
Organizations & group practices 1
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.
-
dba Mill Creek Wellness Center
- Chiropractor
- Mill Creek, WA
- NPI 1336267194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580083200000",
"number": "1679104996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10422 208TH AVE SE",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982907220",
"telephone_number": "425-280-7105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15418 MAIN ST UNIT M106",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980129021",
"telephone_number": "425-742-6034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKERS",
"first_name": "JESSICA",
"middle_name": "CATHERINE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-27",
"last_updated": "2020-01-27",
"certification_date": "2020-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA61014649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mill Creek, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.