Active NPI
Kammi Lynn Madsen, LMP
- Massage Therapist
- Redmond, WA
National Provider Identifier
1780965681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 60136712
- Practice address
- 2032 148TH Ave NE
Redmond, WA 98052-5527 - Phone
- (425) 869-5808
- Fax
- (425) 283-5022
- NPI assigned
- Sep 6, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA 60136712 | WA | Primary |
Addresses
Primary practice location
2032 148TH Ave NE
Redmond, WA 98052-5527
Mailing address
1203 James St Apt 203
Seattle, WA 98104-2105
Phone (509) 263-4034
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA 60136712 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryder-Holt, Inc | Past | Accepting new patients | |
| Eric D Hansen DC Inc PS | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315267200000",
"number": "1780965681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1203 JAMES ST APT 203",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042105",
"telephone_number": "509-263-4034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2032 148TH AVE NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "980525527",
"telephone_number": "425-869-5808",
"fax_number": "425-283-5022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADSEN",
"first_name": "KAMMI",
"middle_name": "LYNN",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-06",
"last_updated": "2011-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA 60136712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.