Individual provider Active NPI

Emma Elaine Raynor

  • Massage Therapist
  • Bellingham, WA
National Provider Identifier
1811603178
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
61143299 Issued in WA
Practice address
3800 Byron Ave Ste B10
Bellingham, WA 98229-2877
Phone
(385) 223-0765
NPI assigned
Jan 30, 2023
Last updated
Jan 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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 61143299 WA Primary

Addresses

Primary practice location

3800 Byron Ave Ste B10
Bellingham, WA 98229-2877

Mailing address

4389 Harborview Dr
Blaine, WA 98230-9229
Phone (385) 223-0765

Other practice location 1

2376 Main St
Ferndale, WA 98248-8605
Phone (385) 223-0765

Other practice location 2

1905 Front St
Lynden, WA 98264-1707
Phone (360) 389-5566

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
61143299WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1811603178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4389 HARBORVIEW DR",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982309229",
            "telephone_number": "385-223-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 BYRON AVE STE B10",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982292877",
            "telephone_number": "385-223-0765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2376 Main St",
            "address_purpose": "LOCATION",
            "city": "Ferndale",
            "state": "WA",
            "postal_code": "982488605",
            "country_code": "US",
            "telephone_number": "385-223-0765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1905 Front St",
            "address_purpose": "LOCATION",
            "city": "Lynden",
            "state": "WA",
            "postal_code": "982641707",
            "country_code": "US",
            "telephone_number": "360-389-5566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYNOR",
        "first_name": "EMMA",
        "middle_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "61143299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.