Jennifer Marie Hersman, JENNIFER HERSMAN

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA 00024908 Issued in WA

Practice address

1611 116TH Ave NE
Ste 200
Bellevue, WA 98004

Phone

(425) 455-0088

NPI assigned

Aug 12, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jen Hersman Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Monroe Therapeutic Massage PS

  • Massage Therapist
  • Bellevue, WA
  • NPI 1184830804
  NPD (past)

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1770715542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 E OLIVE WAY",
            "address_2": "#212",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981025661",
            "telephone_number": "206-390-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 116TH AVE NE",
            "address_2": "STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98004",
            "telephone_number": "425-455-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSMAN",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "JENNIFER HERSMAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-12",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 00024908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEN",
            "last_name": "HERSMAN",
            "credential": "LMP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hero House
• Karen Nicole Herrera, BCBA, LBA
• Rogelio Herrera, LMP
• Jean A Herriges, CDPT
• Elizabeth Herseth, MD
• Andrew Robert Herstein, M.D.
• Richard C. Hert, M.D.
• Hannah Sue Hess
• Diana Dong Hester, L.AC.
• Jenny Heutmaker

• Massage Therapist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.