Organization Active NPI

Jean Jean Enterprises

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1780700278
Registry record updated Oct 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00006957 Issued in WA
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

Updated by the provider on Oct 2, 2017

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)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
CL5421OtherWAREGENCE INSURANCE CO

Other names 1

  • Seattle Advanced Bodywork Associates Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.