Active NPI
Nevin Michael Hair, L.M.P
- Massage Therapist
- Fircrest, WA
National Provider Identifier
1760858831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 60546704
- 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, 2015
- Sex
- Male
- 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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| MA 60546704 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PM Health Group PLLC | Past | Accepting new patients | |
| DT Smith Healthgroup PLLC | Past | 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.
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- NPI 1831641489
-
- Chiropractor
- Fircrest, WA
- NPI 1285012500
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.