Annalie Virginia Dern, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61635291 Issued in WA

Practice address

1916 23Rd Ave S Ste a
Seattle, WA 98144-4616

Phone

(206) 390-6088

NPI assigned

Mar 3, 2025

Last updated

Mar 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Innovative Health PLLC

  • Clinic/Center
  • Seattle, WA
  • NPI 1144942392

  Massage Therapist

  NPD

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1790583144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3938 1/2 INTERLAKE AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038132",
            "telephone_number": "630-486-5849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 23RD AVE S STE A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981444616",
            "telephone_number": "206-390-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERN",
        "first_name": "ANNALIE",
        "middle_name": "VIRGINIA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT137444",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61635291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew J Derksen-Schrock, MD
• Mark David Derleth, M.D.
• Derman PLLC (Nilufer Norsworthy, M.D)
• Dermatology Associates of Seattle PS (Dermatology Associates of Seattle)
• Dermatology Associates PLLC
• Rachael Dern, LMP
• Scott Christopher Deroo, MD
• Evelyn Elizabeth Derooy, L.M.P.
• Jennifer J. Derosa
• Julia Deroshia

• Massage Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.