Jennifer Louise Anderson, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61240395 Issued in WA

Practice address

8650 Martin Way E Ste 207
Lacey, WA 98516-6610

Phone

(360) 951-4504

Fax

(877) 848-7757

NPI assigned

May 8, 2022

Last updated

Sep 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• David M. Warwick DC PLLC

  • Chiropractor
  • Lacey, WA
  • NPI 1013311422

  Single Specialty

  NPD

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

{
    "created_epoch": "1651968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1699411108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8650 MARTIN WAY E STE 207",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985166610",
            "telephone_number": "360-951-4504",
            "fax_number": "877-848-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8650 MARTIN WAY E STE 207",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985166610",
            "telephone_number": "360-951-4504",
            "fax_number": "877-848-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JENNIFER",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-08",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT109150",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61240395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine B Anderegg, PA-C
• August Anderson-Smith, RBT
• Amy Anderson
• Brittany Jo Marilyn Anderson, COTA/L
• Emily Ruth Anderson
• John Anderson, LD
• Raymond Anderson, LMHC
• Andrea Broadwater Counseling and Consulting, LLC
• Lisa Andrew
• Alex Anelon

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.