Individual provider Active NPI

Kirsty A Massingham

  • Massage Therapist
  • Port Angeles, WA
National Provider Identifier
1720314065
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60118155 Issued in WA
Practice address
1215 E 1St St Ste E
Port Angeles, WA 98362-4323
Phone
(360) 417-1153
NPI assigned
Oct 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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 MA60118155 WA Primary

Addresses

Primary practice location

1215 E 1St St Ste E
Port Angeles, WA 98362-4323

Mailing address

2107 Driftwood PL
Port Angeles, WA 98363-5117
Phone (360) 457-6175

Other names 1

  • Kirsten A Harker-Massingham Professional 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

State licenses

LicenseStateTypeSpecialty
MA60118155WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1720314065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 DRIFTWOOD PL",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983635117",
            "telephone_number": "360-457-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 E 1ST ST STE E",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983624323",
            "telephone_number": "360-417-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSINGHAM",
        "first_name": "KIRSTY",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-21",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60118155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTEN",
            "last_name": "HARKER-MASSINGHAM",
            "middle_name": "A",
            "credential": "LMP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Port Angeles, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.