Individual provider Active NPI

Blair Lynn Macdonald, LMP

  • Massage Therapist
  • Silverdale, WA
National Provider Identifier
1689800187
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00021185
Practice address
11871 Silverdale Way NW
Suite 103
Silverdale, WA 98383-9414
Phone
(360) 739-0411
Fax
(360) 692-3469
NPI assigned
Jun 10, 2009
Last updated
Mar 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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 MA00021185 Primary

Addresses

Primary practice location

11871 Silverdale Way NW
Suite 103
Silverdale, WA 98383-9414

Mailing address

PO Box 3033
Silverdale, WA 98383-3033
Phone (360) 739-0411

Other names 1

  • Blair Lynn Crittenden Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1689800187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3033",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983833033",
            "telephone_number": "360-739-0411",
            "fax_number": "360-692-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11871 SILVERDALE WAY NW",
            "address_2": "SUITE 103",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839414",
            "telephone_number": "360-739-0411",
            "fax_number": "360-692-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "BLAIR",
        "middle_name": "LYNN",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": "MA00021185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLAIR",
            "last_name": "CRITTENDEN",
            "middle_name": "LYNN",
            "credential": "LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.