Individual provider Active NPI

Ernest James Leland, LMP

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1730456187
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60256018 Issued in WA
Practice address
9300 NE Vancouver Mall Dr Ste 201
Vancouver, WA 98662-8206
Phone
(360) 567-0488
Fax
(360) 567-0489
NPI assigned
Nov 29, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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 MA60256018 WA Primary

Addresses

Primary practice location

9300 NE Vancouver Mall Dr Ste 201
Vancouver, WA 98662-8206

Mailing address

9300 NE Vancouver Mall Dr Ste 201
Vancouver, WA 98662-8206
Phone (360) 567-0488

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
MA60256018WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orchards Family Medicine, Inc. PS PastSince Jul 1, 2005 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1730456187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 NE VANCOUVER MALL DR STE 201",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986628206",
            "telephone_number": "360-567-0488",
            "fax_number": "360-567-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 NE VANCOUVER MALL DR STE 201",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986628206",
            "telephone_number": "360-567-0488",
            "fax_number": "360-567-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LELAND",
        "first_name": "ERNEST",
        "middle_name": "JAMES",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-29",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60256018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.