Individual provider Active NPI

Catherine Joanne Hawkins, L.M.P.

  • Mechanotherapist
  • Shoreline, WA
National Provider Identifier
1790983427
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
MA0008862 Issued in WA
Practice address
18336 Aurora Ave N
#111
Shoreline, WA 98133-4526
Phone
(206) 542-3607
Fax
(206) 542-3265
NPI assigned
Jul 3, 2007
Last updated
Jul 17, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MA0008862 WA Primary

Addresses

Primary practice location

18336 Aurora Ave N
#111
Shoreline, WA 98133-4526

Mailing address

18336 Aurora Ave N
#111
Shoreline, WA 98133-4526
Phone (206) 542-3607

Other identifiers 2

IdentifierTypeStateIssuer
38-3786781OtherWATAX ID
#MA00008862OtherWAMASSAGE LICENSE

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
MA0008862WAMDMechanotherapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lupine Peak Wellness, LLC Current Accepting new patients
Health Chiropractic PC PastSince Jul 1, 2008 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, 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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1790983427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18336 AURORA AVE N",
            "address_2": "#111",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981334526",
            "telephone_number": "206-542-3607",
            "fax_number": "206-542-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18336 AURORA AVE N",
            "address_2": "#111",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981334526",
            "telephone_number": "206-542-3607",
            "fax_number": "206-542-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "CATHERINE",
        "middle_name": "JOANNE",
        "name_prefix": "Ms.",
        "credential": "L.M.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA0008862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "38-3786781",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE LICENSE",
            "identifier": "#MA00008862",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.