Active NPI
Candis Lynn Marrett, L.M.P.
- Massage Therapist
- Sequim, WA
National Provider Identifier
1831360429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA000246
- Practice address
- 21 Cedar Hill LN
Sequim, WA 98382-8893 - Phone
- (360) 460-5870
- NPI assigned
- Mar 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00024664 | WA | |
| Massage Therapist | 225700000X | MA000246 | WA | Primary |
Addresses
Primary practice location
21 Cedar Hill LN
Sequim, WA 98382-8893
Mailing address
21 Cedar Hill LN
SE
Sequim, WA 98382-8893
Phone (360) 460-5870
Other names 1
- Ms. Candis Lynn Conley
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA000246 | WA | MD | Massage Therapist |
| MA00024664 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550102400000",
"number": "1831360429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 CEDAR HILL LN",
"address_2": "SE",
"city": "SEQUIM",
"state": "WA",
"postal_code": "983828893",
"telephone_number": "360-460-5870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 CEDAR HILL LN",
"city": "SEQUIM",
"state": "WA",
"postal_code": "983828893",
"telephone_number": "360-460-5870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRETT",
"first_name": "CANDIS",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "L.M.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-21",
"last_updated": "2019-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00024664",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA000246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CANDIS",
"last_name": "CONLEY",
"middle_name": "LYNN",
"prefix": "MS.",
"credential": "LMP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sequim, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.