Active NPI
Gurubani Whitney A Van Boven, LMT
- Massage Therapist
- Burlington, WA
National Provider Identifier
1801377825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 320 E Fairhaven Ave Ste 201
Burlington, WA 98233-1700 - Phone
- (865) 455-3453
- NPI assigned
- Aug 27, 2018
- Last updated
- Aug 27, 2018
- 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 | NU | Primary |
Addresses
Primary practice location
320 E Fairhaven Ave Ste 201
Burlington, WA 98233-1700
Mailing address
PO Box 74
Rockport, WA 98283-0074
Phone (865) 455-3453
Other names 1
- Ms. Gurubani Whitney A Khalsa
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535328000000",
"number": "1801377825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 74",
"city": "ROCKPORT",
"state": "WA",
"postal_code": "982830074",
"telephone_number": "865-455-3453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 E FAIRHAVEN AVE STE 201",
"city": "BURLINGTON",
"state": "WA",
"postal_code": "982331700",
"telephone_number": "865-455-3453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN BOVEN",
"first_name": "GURUBANI WHITNEY",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-27",
"last_updated": "2018-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GURUBANI WHITNEY",
"last_name": "KHALSA",
"middle_name": "A",
"prefix": "MS.",
"credential": "WEMT, CPHT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Burlington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.