Individual provider Active NPI

Sandra Huskinson, LMP

  • Massage Therapist
  • Bellevue, WA
National Provider Identifier
1760782346
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 00018522 Issued in WA
Practice address
13555 Bel Red Rd
#205
Bellevue, WA 98005-2397
Phone
(425) 445-2320
NPI assigned
Oct 28, 2010
Last updated
Oct 28, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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 MA 00018522 WA Primary

Addresses

Primary practice location

13555 Bel Red Rd
#205
Bellevue, WA 98005-2397

Mailing address

31929 SE 44TH St
#A
Fall City, WA 98024

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
MA 00018522WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1760782346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31929 SE 44TH ST",
            "address_2": "#A",
            "city": "FALL CITY",
            "state": "WA",
            "postal_code": "98024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13555 BEL RED RD",
            "address_2": "#205",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052397",
            "telephone_number": "425-445-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSKINSON",
        "first_name": "SANDRA",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 00018522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.