Active NPI
Heidi Michelle Teubner, LMP
- Massage Therapist
- Battle Ground, WA
National Provider Identifier
1740709369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60671978
- Practice address
- 113 S Parkway Ave
Battle Ground, WA 98604-9294 - Phone
- (360) 687-1781
- NPI assigned
- Sep 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | MA60671978 | WA | Primary |
Addresses
Primary practice location
113 S Parkway Ave
Battle Ground, WA 98604-9294
Mailing address
113 S Parkway Ave
Battle Ground, WA 98604-9294
Phone (360) 687-1781
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 |
|---|---|---|---|
| MA60671978 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Purple Pear Body Therapy | Single Specialty | Past | Accepting new patients |
| Balance & Bloom Bodywork LLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 2
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": "1505347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1740709369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 S PARKWAY AVE",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986049294",
"telephone_number": "360-687-1781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 S PARKWAY AVE",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986049294",
"telephone_number": "360-687-1781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEUBNER",
"first_name": "HEIDI",
"middle_name": "MICHELLE",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60671978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Battle Ground, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.