Indigo Fountain Massage

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

602851131 Issued in WA

Legal business name

INDIGO FOUNTAIN MASSAGE

Practice address

3656 NW Munson St
#1
Silverdale, WA 98383-9140

Phone

(360) 731-8665

NPI assigned

Mar 27, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Anthea E Hay, LMP

Title

Licensed Massage Practitioner

Phone

(360) 731-8665

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Whitney Drollette, LMP

  • Massage Therapist
  • Silverdale, WA
  • NPI 1922406644
  NPD (past)
• Amelia Price, OT

  • Occupational Therapist
  • Poulsbo, WA
  • NPI 1033581954
  NPD (past)

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1689091605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3656 NW MUNSON ST",
            "address_2": "#1",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839140",
            "telephone_number": "360-731-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3656 NW MUNSON ST",
            "address_2": "#1",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839140",
            "telephone_number": "360-731-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIGO FOUNTAIN MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "HAY",
        "authorized_official_first_name": "ANTHEA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "LICENSED MASSAGE PRACTITIONER",
        "authorized_official_telephone_number": "360-731-8665",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "602851131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Lind Hush, LMT
• Karen Huston, RBT
• Phuong Anh Ngoc Huynh
• Kristina Marie Ieronimakis
• Illuminate.Me LLC
• Integrated Chiropractic
• Justine B Jaacks
• Chelsea M Jack
• Erin Jackson
• Farrah Ashlee Jacobs

• Massage Therapist in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.