Active NPI
Chandra Tess Hustead, L.M.P.
- Massage Therapist
- Bellingham, WA
National Provider Identifier
1750787875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60299923
- 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, 2015
- 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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| MA60299923 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Massage Therapist
- Bellingham, WA
- NPI 1124464326
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.