Active NPI
Susie Hanson
- Massage Therapist
- Spokane, WA
National Provider Identifier
1801194345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 60211124
- Practice address
- 1328 S Southeast Blvd
Spokane, WA 99202-2570 - Phone
- (509) 536-1700
- NPI assigned
- Mar 8, 2011
- Last updated
- Mar 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 60211124 | WA | Primary |
Addresses
Primary practice location
1328 S Southeast Blvd
Spokane, WA 99202-2570
Mailing address
1328 S Southeast Blvd
Spokane, WA 99202-2570
Phone (509) 536-1700
Other names 1
- Sue Hanson
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 |
|---|---|---|---|
| 60211124 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosaic Inc | Massage Therapist | 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": "1299542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299542400000",
"number": "1801194345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1328 S SOUTHEAST BLVD",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992022570",
"telephone_number": "509-536-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1328 S SOUTHEAST BLVD",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992022570",
"telephone_number": "509-536-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "SUSIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-08",
"last_updated": "2011-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "60211124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUE",
"last_name": "HANSON",
"credential": "LMP",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.