Active NPI
Heidi Roberson, L.M.P.
- Massage Therapist
- Edmonds, WA
National Provider Identifier
1740678440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 60493339
- Practice address
- 111 Sunset Ave N
Suite 101
Edmonds, WA 98020-3229 - Phone
- (425) 582-0884
- NPI assigned
- Jan 3, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA 60493339 | WA | Primary |
Addresses
Primary practice location
111 Sunset Ave N
Suite 101
Edmonds, WA 98020-3229
Mailing address
12433 Admiralty Way
Apt O207
Everett, WA 98204-8034
Phone (602) 680-0096
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA 60493339 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420243200000",
"number": "1740678440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12433 ADMIRALTY WAY",
"address_2": "APT O207",
"city": "EVERETT",
"state": "WA",
"postal_code": "982048034",
"telephone_number": "602-680-0096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 SUNSET AVE N",
"address_2": "SUITE 101",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980203229",
"telephone_number": "425-582-0884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERSON",
"first_name": "HEIDI",
"credential": "L.M.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-03",
"last_updated": "2015-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA 60493339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.