Active NPI
Jennifer Marie Walker, LMP
- Massage Therapist
- Lakewood, WA
National Provider Identifier
1801966247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00019236
- Practice address
- 5920 100TH St SW Ste 22
Lakewood, WA 98499-2751 - Phone
- (253) 581-1442
- Fax
- (253) 449-0564
- NPI assigned
- Nov 9, 2006
- Sex
- Female
- Sole proprietor
- No
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 | MA00019236 | WA | Primary |
Addresses
Primary practice location
5920 100TH St SW Ste 22
Lakewood, WA 98499-2751
Mailing address
1807 15TH Ave
Milton, WA 98354-9106
Phone (253) 370-6868
Other names 1
- Jennifer Marie Moorhead
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
- Credentials
- Master of Theology
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00019236 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dennis C. Sweet, D.C., P.S. | Past | Accepting new patients | |
| JMSM Services Inc | Massage Therapist | Past | Accepting new patients |
| Chittenden Chiropractic PS | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Chiropractor
- Lakewood, WA
- NPI 1831496314
-
- Chiropractor
- Lakewood, WA
- NPI 1437652757
-
- Massage Therapist
- Lakewood, WA
- NPI 1013440007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1801966247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1807 15TH AVE",
"city": "MILTON",
"state": "WA",
"postal_code": "983549106",
"telephone_number": "253-370-6868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5920 100TH ST SW STE 22",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984992751",
"telephone_number": "253-581-1442",
"fax_number": "253-449-0564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00019236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "MOORHEAD",
"middle_name": "MARIE",
"credential": "LMP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.