Active NPI
Tammy Lynnette Ganje, LMP
- Massage Therapist
- Monroe, WA
National Provider Identifier
1760562987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00016510
- Practice address
- 15177 172ND Ave SE
Monroe, WA 98272-2892 - Phone
- (360) 217-7548
- Fax
- (360) 217-7549
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | MA00016510 | WA | Primary |
Addresses
Primary practice location
15177 172ND Ave SE
Monroe, WA 98272-2892
Mailing address
15177 172ND Ave SE
Monroe, WA 98272-2892
Phone (360) 217-7548
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0164829 | Other | WA | LABOR & INDUSTRY |
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 |
|---|---|---|---|
| MA00016510 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322697600000",
"number": "1760562987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15177 172ND AVE SE",
"city": "MONROE",
"state": "WA",
"postal_code": "982722892",
"telephone_number": "360-217-7548",
"fax_number": "360-217-7549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15177 172ND AVE SE",
"city": "MONROE",
"state": "WA",
"postal_code": "982722892",
"telephone_number": "360-217-7548",
"fax_number": "360-217-7549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANJE",
"first_name": "TAMMY",
"middle_name": "LYNNETTE",
"name_prefix": "Miss",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2011-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00016510",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRY",
"identifier": "0164829",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monroe, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.