Individual provider Active NPI

Charisma Jimenea Sifferman, LMP

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1770874679
Registry record updated Oct 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60199831 Issued in WA
Practice address
701 5TH Ave
Ste 212
Seattle, WA 98104-7097
Phone
(206) 464-4250
Fax
(206) 829-2051
NPI assigned
Apr 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2013

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 MA60199831 WA Primary

Addresses

Primary practice location

701 5TH Ave
Ste 212
Seattle, WA 98104-7097

Mailing address

5027 15TH Ave NE
Apt 301
Seattle, WA 98105-4347
Phone (206) 697-6837

Other names 1

  • Charisma Jimenea Morgan Former name

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
MA60199831WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Chiropractic Center of Seattle Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382918400000",
    "number": "1770874679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5027 15TH AVE NE",
            "address_2": "APT 301",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054347",
            "telephone_number": "206-697-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 5TH AVE",
            "address_2": "STE 212",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981047097",
            "telephone_number": "206-464-4250",
            "fax_number": "206-829-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIFFERMAN",
        "first_name": "CHARISMA",
        "middle_name": "JIMENEA",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-26",
        "last_updated": "2013-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60199831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARISMA",
            "last_name": "MORGAN",
            "middle_name": "JIMENEA",
            "credential": "LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; 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.