Active NPI
Jennifer J Casey, N.D. DEGREE (NON-LIC
- Massage Therapist
- Vancouver, WA
National Provider Identifier
1750408191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 8183
- Practice address
- 12014 SE Mill Plain Blvd
Suite 120
Vancouver, WA 98684-4043 - Phone
- (360) 892-0199
- NPI assigned
- Mar 22, 2007
- 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 | 8183 | OR | Primary |
Addresses
Primary practice location
12014 SE Mill Plain Blvd
Suite 120
Vancouver, WA 98684-4043
Mailing address
PO Box 276
Lake Oswego, OR 97034-0032
Phone (503) 890-2888
Other names 1
- Hands Of Gold
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 |
|---|---|---|---|
| 8183 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411430400000",
"number": "1750408191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 276",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970340032",
"telephone_number": "503-890-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12014 SE MILL PLAIN BLVD",
"address_2": "SUITE 120",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986844043",
"telephone_number": "360-892-0199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASEY",
"first_name": "JENNIFER",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "N.D. DEGREE (NON-LIC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2014-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "8183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HANDS",
"last_name": "GOLD",
"middle_name": "OF",
"credential": "DNM",
"code": "2",
"type": "Professional Name"
}
]
}
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 Sep 23, 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.