Nichole Leigh Terrell, L.M.P

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60639776 Issued in WA

Practice address

3307 Evergreen Way
Suite 601
Washougal, WA 98671-2062

Phone

(360) 835-9911

NPI assigned

Mar 30, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Michael a. Dornbusch, DC, PS

  • Physical Medicine & Rehabilitation Physician
  • Washougal, WA
  • NPI 1437390747

  Massage Therapist

  NPD (past)
• Pure Wellness Chiropractic Washougal PLLC

  • Chiropractor
  • Washougal, WA
  • NPI 1386489037
  NPD (past)

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1801259601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 EVERGREEN WAY",
            "address_2": "SUITE 601",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986712062",
            "telephone_number": "360-835-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 EVERGREEN WAY",
            "address_2": "SUITE 601",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986712062",
            "telephone_number": "360-835-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "NICHOLE",
        "middle_name": "LEIGH",
        "credential": "L.M.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60639776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.