Individual provider Active NPI

Nevin Michael Hair, L.M.P

  • Massage Therapist
  • Fircrest, WA
National Provider Identifier
1760858831
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 60546704 Issued in WA
Practice address
6314 19TH St W
Suite# 11
Fircrest, WA 98466-6223
Phone
(253) 267-8188
Fax
(253) 267-8187
NPI assigned
Aug 12, 2015
Last updated
Aug 12, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 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 MA 60546704 WA Primary

Addresses

Primary practice location

6314 19TH St W
Suite# 11
Fircrest, WA 98466-6223

Mailing address

11502 Ashton Ave E
Bonney Lake, WA 98391-6144
Phone (253) 737-7173

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 60546704WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PM Health Group PLLC PastSince May 1, 2015 Accepting new patients
DT Smith Healthgroup PLLC PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 2

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": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1760858831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11502 ASHTON AVE E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983916144",
            "telephone_number": "253-737-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6314 19TH ST W",
            "address_2": "SUITE# 11",
            "city": "FIRCREST",
            "state": "WA",
            "postal_code": "984666223",
            "telephone_number": "253-267-8188",
            "fax_number": "253-267-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIR",
        "first_name": "NEVIN",
        "middle_name": "MICHAEL",
        "credential": "L.M.P",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60546704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fircrest, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.