Individual provider Active NPI

Elysia J. Buss, LMP

  • Massage Therapist
  • Tumwater, WA
National Provider Identifier
1780850990
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00019512 Issued in WA
Practice address
2735 Tuscany LN SW Apt 824
Tumwater, WA 98512-7889
Phone
(206) 295-4137
NPI assigned
May 7, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 MA00019512 WA Primary

Addresses

Primary practice location

2735 Tuscany LN SW Apt 824
Tumwater, WA 98512-7889

Mailing address

2735 Tuscany LN SW Apt 824
Tumwater, WA 98512-7889
Phone (206) 295-4137

Other practice location 1

1655 Cooper Point Rd SW
Olympia, WA 98502-5735
Phone (360) 352-9100

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
MA00019512WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dandrea Chiropractic Inc., P.C. 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1780850990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 TUSCANY LN SW APT 824",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127889",
            "telephone_number": "206-295-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 TUSCANY LN SW APT 824",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127889",
            "telephone_number": "206-295-4137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1655 Cooper Point Rd SW",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985025735",
            "country_code": "US",
            "telephone_number": "360-352-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSS",
        "first_name": "ELYSIA",
        "middle_name": "J.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00019512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.