Individual provider Active NPI

Eric Vanostrand, LMP

  • Massage Therapist
  • Woodinville, WA
National Provider Identifier
1801263363
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 60331022 Issued in WA
Practice address
15610 NE Woodinville Duvall Rd Ste 108
Woodinville, WA 98072-7069
Phone
(425) 489-5900
Fax
(888) 389-7559
NPI assigned
Aug 31, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA 60331022 WA Primary

Addresses

Primary practice location

15610 NE Woodinville Duvall Rd Ste 108
Woodinville, WA 98072-7069

Mailing address

15610 NE Woodinville Duvall Rd Ste 108
Woodinville, WA 98072-7069
Phone (425) 489-5900

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
MA 60331022WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1801263363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15610 NE WOODINVILLE DUVALL RD STE 108",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980727069",
            "telephone_number": "425-489-5900",
            "fax_number": "888-389-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15610 NE WOODINVILLE DUVALL RD STE 108",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980727069",
            "telephone_number": "425-489-5900",
            "fax_number": "888-389-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANOSTRAND",
        "first_name": "ERIC",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-31",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60331022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.