Individual provider Active NPI

Jessica L Weatherman, LMP

  • Massage Therapist
  • Spokane, WA
National Provider Identifier
1740327220
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00020888 Issued in WA
Practice address
1113 E Westview CT
Spokane, WA 99218-1319
Phone
(509) 465-8400
Fax
(209) 465-8500
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 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 MA00020888 WA Primary

Addresses

Primary practice location

1113 E Westview CT
Spokane, WA 99218-1319

Mailing address

1113 E Westview CT
Spokane, WA 99218-1319
Phone (509) 465-8400

Other names 1

  • Miss Jessica L Seagreaves Former 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
Credentials
Master of Theology

State licenses

LicenseStateTypeSpecialty
MA00020888WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brian Mather, PC PastSince Nov 15, 2002 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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1740327220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 E WESTVIEW CT",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181319",
            "telephone_number": "509-465-8400",
            "fax_number": "209-465-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 E WESTVIEW CT",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181319",
            "telephone_number": "509-465-8400",
            "fax_number": "209-465-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERMAN",
        "first_name": "JESSICA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00020888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SEAGREAVES",
            "middle_name": "L",
            "prefix": "MISS",
            "credential": "LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.