NPIMap

Organization Active NPI

Serene Lake Massage

  • Health Service Clinic/Center
  • Mukilteo, WA
National Provider Identifier
1821254442
Registry record updated Aug 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
MA00022660 Issued in WA
Legal business name
SERENE LAKE MASSAGE
Practice address
4803 84TH St SW
Mukilteo, WA 98275-3023
Phone
(425) 290-6024
NPI assigned
Aug 3, 2008
Last updated
Aug 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2008

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

Authorized official

Name
Mrs. Mindy Rashell S. Toves
Title
Licenced Massage Therapist
Phone
(360) 631-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X MA00022660 WA Primary

Addresses

Primary practice location

4803 84TH St SW
Mukilteo, WA 98275-3023

Mailing address

3501 Shelby Rd
Suite C
Lynnwood, WA 98087-3599

National Provider Directory

National Provider Directory

Locations

3501 Shelby Rd
Ste C
Lynnwood, WA 98087
Phone (425) 745-9052

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1217721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217721600000",
    "number": "1821254442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 SHELBY RD",
            "address_2": "SUITE C",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980873599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4803 84TH ST SW",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982753023",
            "telephone_number": "425-290-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE LAKE MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-03",
        "last_updated": "2008-08-03",
        "status": "A",
        "authorized_official_last_name": "TOVES",
        "authorized_official_first_name": "MINDY",
        "authorized_official_middle_name": "RASHELL S.",
        "authorized_official_title_or_position": "LICENCED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "360-631-3400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WA",
            "license": "MA00022660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mukilteo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2008; 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.