Individual provider Active NPI

Jeannine Graf Jonsson, LMP

  • Massage Therapist
  • Silverdale, WA
National Provider Identifier
1700171683
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60230458 Issued in WA
Practice address
3343 NW Byron St
Silverdale, WA 98383-9123
Phone
(360) 692-8920
NPI assigned
Jun 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2013

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 MA60230458 WA Primary

Addresses

Primary practice location

3343 NW Byron St
Silverdale, WA 98383-9123

Mailing address

200 Eagleview LN
Port Ludlow, WA 98365-9519
Phone (360) 437-6911

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
MA60230458WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1308355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1700171683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 EAGLEVIEW LN",
            "city": "PORT LUDLOW",
            "state": "WA",
            "postal_code": "983659519",
            "telephone_number": "360-437-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3343 NW BYRON ST",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839123",
            "telephone_number": "360-692-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONSSON",
        "first_name": "JEANNINE",
        "middle_name": "GRAF",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-18",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60230458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 8, 2013; 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.