Individual provider Active NPI

Chandra Tess Hustead, L.M.P.

  • Massage Therapist
  • Bellingham, WA
National Provider Identifier
1750787875
Registry record updated Dec 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60299923 Issued in WA
Practice address
19 Bellwether Way
Suite 101
Bellingham, WA 98225-2965
Phone
(360) 647-2805
Fax
(360) 734-4148
NPI assigned
Nov 17, 2014
Last updated
Dec 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2015

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 MA60299923 WA Primary

Addresses

Primary practice location

19 Bellwether Way
Suite 101
Bellingham, WA 98225-2965

Mailing address

PO Box 29394
Bellingham, WA 98228-1394
Phone (360) 393-4952

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
MA60299923WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Still Life Massage and Float Massage Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449360000000",
    "number": "1750787875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29394",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982281394",
            "telephone_number": "360-393-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BELLWETHER WAY",
            "address_2": "SUITE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252965",
            "telephone_number": "360-647-2805",
            "fax_number": "360-734-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSTEAD",
        "first_name": "CHANDRA",
        "middle_name": "TESS",
        "credential": "L.M.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-17",
        "last_updated": "2015-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60299923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.

Verify at the official NPI Registry.