Jennie Mills, LMT, CCT, CD(DONA)

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60455117 Issued in WA

Practice address

38579 SE River St
Snoqualmie, WA 98065-5155

Phone

(425) 780-7208

Fax

(425) 888-1273

NPI assigned

Mar 4, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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 and National Provider Directory roles.

• North West Roots Wellness Center

  • Massage Therapist
  • Redmond, WA
  • NPI 1033605654
  NPD Authorized official

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1720470453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 MILLS PL NE",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980459440",
            "telephone_number": "425-780-7208",
            "fax_number": "425-888-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38579 SE RIVER ST",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980655155",
            "telephone_number": "425-780-7208",
            "fax_number": "425-888-1273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17090 Avondale Way NE",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "WA",
            "postal_code": "980524409",
            "country_code": "US",
            "telephone_number": "425-780-7208",
            "fax_number": "425-888-1273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "43018 SE 149th St",
            "address_purpose": "LOCATION",
            "city": "North Bend",
            "state": "WA",
            "postal_code": "980459311",
            "country_code": "US",
            "telephone_number": "425-780-7208",
            "fax_number": "425-888-1273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLS",
        "first_name": "JENNIE",
        "credential": "LMT, CCT, CD(DONA)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-04",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60455117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa McDonald, OTR/L
• Sierra McDowell-Nardine, SLP-CCC
• Anne Elizabeth McGavran, R.N.
• Christianne Elizabeth McKay, DPT
• Antonia Roszita Mejorado, LMHC, SUDP
• Danielle Molnar, PHARMD
• Kathie L Monney, RN
• Hel Ber Moo
• Liliana Ivette Moreno-Sottile, MHCA
• Lindsay Rae Morse

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.