Individual provider Active NPI

Amanda Lee Winje, L.M.P.

  • Massage Therapist
  • Newport, WA
National Provider Identifier
1689968034
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60219373 Issued in WA
Practice address
129 S Union Ave
Newport, WA 99156-9668
Phone
(509) 671-1151
Fax
(509) 447-9986
NPI assigned
Jun 2, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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 MA60219373 WA Primary

Addresses

Primary practice location

129 S Union Ave
Newport, WA 99156-9668

Mailing address

129 S Union Ave
Newport, WA 99156-9668
Phone (509) 671-1151

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

LicenseStateTypeSpecialty
MA60219373WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher a Thomas DC PS PastSince Jul 1, 2004 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1689968034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 S UNION AVE",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "991569668",
            "telephone_number": "509-671-1151",
            "fax_number": "509-447-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 S UNION AVE",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "991569668",
            "telephone_number": "509-671-1151",
            "fax_number": "509-447-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINJE",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "name_prefix": "Miss",
        "credential": "L.M.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-02",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60219373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.

Verify at the official NPI Registry.