Active NPI
Jamie Rose Stolp, LMT
- Massage Therapist
- Everett, WA
National Provider Identifier
1679170054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 61096206
- Practice address
- 4626 Fowler Ave
Everett, WA 98203-2719 - Phone
- (425) 931-8564
- NPI assigned
- Oct 8, 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 | 61096206 | WA | Primary |
Addresses
Primary practice location
4626 Fowler Ave
Everett, WA 98203-2719
Mailing address
PO Box 1311
Lake Stevens, WA 98258-1311
Phone (425) 931-8564
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 |
|---|---|---|---|
| 61096206 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602115200000",
"number": "1679170054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1311",
"city": "LAKE STEVENS",
"state": "WA",
"postal_code": "982581311",
"telephone_number": "425-931-8564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4626 FOWLER AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982032719",
"telephone_number": "425-931-8564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOLP",
"first_name": "JAMIE ROSE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-08",
"last_updated": "2020-10-08",
"certification_date": "2020-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "61096206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.