Nancy Laraine Edison, MASSAGE PRACTITIONER

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA 00001939 Issued in WA

Practice address

1625 W 4TH Ave
Spokane, WA 99201-5620

Phone

(509) 991-1946

NPI assigned

Jan 26, 2010

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

Other names 1

• Mrs. Nancy Laraine Edison Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1740511013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1084",
            "city": "TUMTUM",
            "state": "WA",
            "postal_code": "990341084",
            "telephone_number": "509-991-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 W 4TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992015620",
            "telephone_number": "509-991-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDISON",
        "first_name": "NANCY",
        "middle_name": "LARAINE",
        "name_prefix": "Ms.",
        "credential": "MASSAGE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-26",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 00001939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "EDISON",
            "middle_name": "LARAINE",
            "prefix": "MRS.",
            "credential": "MASSAGE PRACTITIONER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kayla Kristine Edgmon
• Calli Edgmond
• Anna Ediger, PT, DPT
• Michael J Ediger, ATC
• Doug Edington
• Jennifer Lynn Edminster, ARNP
• Joel D. Edminster, MD
• Scott C Edminster, M.D.
• Elizabeth Edmonds
• Lauren Edmonds, M.S, NCC, LMHCA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.