Stephanie Ann Woodworth, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61033483 Issued in WA

Practice address

13069 Beaver Lake Rd
Mount Vernon, WA 98273-9410

Phone

(360) 595-5063

NPI assigned

Dec 1, 2022

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 identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1780394759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13069 BEAVER LAKE RD",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982739410",
            "telephone_number": "360-595-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13069 BEAVER LAKE RD",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982739410",
            "telephone_number": "360-595-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWORTH",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61033483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE",
            "identifier": "MA61033484",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "stephanie@nwhealinghub.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13069 Beaver Lake Rd",
            "city": "Mount Vernon",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982739410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melissa Wong, M.D.
• Karen S Woo, D.O., FACOS, FACS
• Mary Ann Wood
• Kelly Anne Woodard, SLP
• Nicole Woodward, FNP-BC
• Jeffrey B. Worrell, OPTICIAN
• Herman P Wu, MD
• Kimberly Saphaire-Dawn Wyatt, AAC, BA
• Ya-Chun Wang, DDS, PLLC
• Justin Hermann Yeates, D.D.S.

• Massage Therapist in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.