Individual provider Active NPI

Gurubani Whitney A Van Boven, LMT

  • Massage Therapist
  • Burlington, WA
National Provider Identifier
1801377825
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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 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 Former name

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.

Verify at the official NPI Registry.