Individual provider Active NPI

Naomi Jean Janos, LMP

  • Massage Therapist
  • Issaquah, WA
National Provider Identifier
1750427571
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00017030 Issued in WA
Practice address
1495 NW Gilman Blvd
Suite 43
Issaquah, WA 98027-8975
Phone
(425) 394-1200
Fax
(425) 394-0100
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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 MA00017030 WA Primary

Addresses

Primary practice location

1495 NW Gilman Blvd
Suite 43
Issaquah, WA 98027-8975

Mailing address

1495 NW Gilman Blvd
Suite 43
Issaquah, WA 98027-8975
Phone (425) 394-1200

Other identifiers 3

IdentifierTypeStateIssuer
0194785OtherWALABOR & INDUSTRIES
1560JAOtherWAREGENCE
2057JAOtherWAREGENCE

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

LicenseStateTypeSpecialty
MA00017030WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237248000000",
    "number": "1750427571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 NW GILMAN BLVD",
            "address_2": "SUITE 43",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278975",
            "telephone_number": "425-394-1200",
            "fax_number": "425-394-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 NW GILMAN BLVD",
            "address_2": "SUITE 43",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278975",
            "telephone_number": "425-394-1200",
            "fax_number": "425-394-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANOS",
        "first_name": "NAOMI",
        "middle_name": "JEAN",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2009-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00017030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0194785",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "1560JA",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "2057JA",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.