Active NPI
Jean Jean Enterprises
- Massage Therapist
- Seattle, WA
National Provider Identifier
1780700278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00006957
- Legal business name
- JEAN JEAN ENTERPRISES
- Practice address
- 5355 Tallman Ave NW
#216
Seattle, WA 98107 - Phone
- (206) 675-1740
- Fax
- (206) 675-1043
- NPI assigned
- Mar 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jean L. Clough, LMP
- Title
- Manager/Owner
- Phone
- (206) 675-1740
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00006957 | WA | Primary |
Addresses
Primary practice location
5355 Tallman Ave NW
#216
Seattle, WA 98107
Mailing address
5355 Tallman Ave NW
#216
Seattle, WA 98107
Phone (206) 675-1740
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CL5421 | Other | WA | REGENCE INSURANCE CO |
Other names 1
- Seattle Advanced Bodywork Associates
National Provider Directory
National Provider DirectoryLocations
5355 Tallman Ave NW
Ste 216
Seattle, WA 98107
Phone (206) 675-1740
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Massage Therapist
- Seattle, WA
- NPI 1124198346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1506902400000",
"number": "1780700278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5355 TALLMAN AVE NW",
"address_2": "#216",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98107",
"telephone_number": "206-675-1740",
"fax_number": "206-675-1043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5355 TALLMAN AVE NW",
"address_2": "#216",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98107",
"telephone_number": "206-675-1740",
"fax_number": "206-675-1043"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEAN JEAN ENTERPRISES",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-22",
"last_updated": "2017-10-02",
"status": "A",
"authorized_official_last_name": "CLOUGH",
"authorized_official_first_name": "JEAN",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "MANAGER/OWNER",
"authorized_official_telephone_number": "206-675-1740",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LMP"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00006957",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE INSURANCE CO",
"identifier": "CL5421",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Seattle Advanced Bodywork Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
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 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.