Individual provider Active NPI

Rachel Louise Nickels, LMT

  • Massage Therapist
  • Lacey, WA
National Provider Identifier
1700430014
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
60955065 Issued in WA
Practice address
8730 Tallon LN NE Ste 104
Lacey, WA 98516-6609
Phone
(360) 489-0223
NPI assigned
Jul 25, 2019
Last updated
Jul 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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 60955065 WA Primary

Addresses

Primary practice location

8730 Tallon LN NE Ste 104
Lacey, WA 98516-6609

Mailing address

1126 Neil St NE Apt 1
Olympia, WA 98516-5523
Phone (360) 972-4987

Other practice location 1

3663 College St SE Ste F
Lacey, WA 98503-2303
Phone (360) 810-2018

Other practice location 2

1126 Neil St NE Apt 1
Olympia, WA 98516-5523
Phone (360) 972-4987

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
60955065WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1700430014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 NEIL ST NE APT 1",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985165523",
            "telephone_number": "360-972-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8730 TALLON LN NE STE 104",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985166609",
            "telephone_number": "360-489-0223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3663 College St SE Ste F",
            "address_purpose": "LOCATION",
            "city": "Lacey",
            "state": "WA",
            "postal_code": "985032303",
            "country_code": "US",
            "telephone_number": "360-810-2018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1126 Neil St NE Apt 1",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985165523",
            "country_code": "US",
            "telephone_number": "360-972-4987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICKELS",
        "first_name": "RACHEL",
        "middle_name": "LOUISE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "60955065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.