Active NPI
Taylor Proudfit, LMT
- Massage Therapist
- Vancouver, WA
National Provider Identifier
1689038044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 60633595
- Practice address
- 13317 NE 12TH Ave
Vancouver, WA 98685-2727 - Phone
- (360) 726-6095
- Fax
- (360) 326-4025
- NPI assigned
- Apr 11, 2016
- Sex
- Female
- Sole proprietor
- No
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 | MA 60633595 | WA | Primary |
Addresses
Primary practice location
13317 NE 12TH Ave
Vancouver, WA 98685-2727
Mailing address
13317 NE 12TH Ave
Vancouver, WA 98685-2727
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 |
|---|---|---|---|
| MA 60633595 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460332800000",
"number": "1689038044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13317 NE 12TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986852727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13317 NE 12TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986852727",
"telephone_number": "360-726-6095",
"fax_number": "360-326-4025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROUDFIT",
"first_name": "TAYLOR",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-11",
"last_updated": "2016-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA 60633595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
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- Project Patch
- Alena Teanna Prosdocimi
- Prosody Mental Health
- Michelle G Prostler, LMT
- David Alan Proujan, R.PH
- Jennifer M Prouse, RD
- Janetta C Proverbs, M.D.
- Providence Health & Services - Oregon (Providence Rehab Services-Camas)
- Providence Health & Services - Oregon (Providence Medical Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.