Individual provider Active NPI

Jolynn Buchholz Montoya

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1740888320
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60960986 Issued in WA
Practice address
17030 SE 1St St Ste 102
Vancouver, WA 98684-8514
Phone
(360) 604-1226
NPI assigned
Oct 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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 MA60960986 WA Primary

Addresses

Primary practice location

17030 SE 1St St Ste 102
Vancouver, WA 98684-8514

Mailing address

17030 SE 1St St Ste 102
Vancouver, WA 98684-8514

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@breatheyogavancouver.com

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
MA60960986WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hybrid Health PLLC Past Accepting new patients
Breathe Yoga and Massage, LLC PastSince Oct 19, 2020 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": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1740888320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17030 SE 1ST ST STE 102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986848514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17030 SE 1ST ST STE 102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986848514",
            "telephone_number": "360-604-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHHOLZ MONTOYA",
        "first_name": "JOLYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60960986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@breatheyogavancouver.com",
            "affiliation": "N",
            "address_1": "17030 SE 1st St Ste 102",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986848514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 15, 2020; 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.