Individual provider Active NPI

Jason J Lommen, L.M.T

  • Specialist
  • Kent, WA
National Provider Identifier
1821117342
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00012343 Issued in WA
Practice address
24909 104TH Ave SE
Ste #103
Kent, WA 98030-2819
Phone
(253) 850-8163
Fax
(253) 850-8164
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00012343 WA Primary

Addresses

Primary practice location

24909 104TH Ave SE
Ste #103
Kent, WA 98030-2819

Mailing address

24909 104TH Ave SE
Ste #103
Kent, WA 98030-2819
Phone (253) 850-8163

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
MA00012343WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen J Zografos DC Inc PS PastSince Jan 1, 2008 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821117342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24909 104TH AVE SE",
            "address_2": "STE #103",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980302819",
            "telephone_number": "253-850-8163",
            "fax_number": "253-850-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24909 104TH AVE SE",
            "address_2": "STE #103",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980302819",
            "telephone_number": "253-850-8163",
            "fax_number": "253-850-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMMEN",
        "first_name": "JASON",
        "middle_name": "J",
        "credential": "L.M.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00012343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.