Individual provider Active NPI

Andrea Alejandre, MA

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1689197550
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
60761990 Issued in WA
Practice address
13317 NE 12TH Ave Ste 115
Vancouver, WA 98685-2731
Phone
(360) 726-6460
NPI assigned
Jul 21, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 60761990 WA Primary

Addresses

Primary practice location

13317 NE 12TH Ave Ste 115
Vancouver, WA 98685-2731

Mailing address

712 NE 148TH Ave
Vancouver, WA 98684-8133
Phone (971) 271-9187

Other practice location 1

400 E Evergreen Blvd # B219
Vancouver, WA 98660-3331
Phone (971) 271-9187

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
60761990WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1689197550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 NE 148TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986848133",
            "telephone_number": "971-271-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13317 NE 12TH AVE STE 115",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852731",
            "telephone_number": "360-726-6460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E Evergreen Blvd # B219",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986603331",
            "country_code": "US",
            "telephone_number": "971-271-9187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEJANDRE",
        "first_name": "ANDREA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "60761990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.