Active NPI
Jodi Nash Renee', L.M.P.
- Massage Therapist
- Puyallup, WA
National Provider Identifier
1831401439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00011226
- Practice address
- 208 28TH Ave SE
Puyallup, WA 98374-1236 - Phone
- (253) 219-4970
- Fax
- (253) 861-8941
- NPI assigned
- Jul 12, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00011226 | WA | Primary |
Addresses
Primary practice location
208 28TH Ave SE
Puyallup, WA 98374-1236
Mailing address
208 28TH Ave SE
Puyallup, WA 98374-1236
Phone (253) 219-4970
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 |
|---|---|---|---|
| MA00011226 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278892800000",
"number": "1831401439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 28TH AVE SE",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983741236",
"telephone_number": "253-219-4970",
"fax_number": "253-861-8941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 28TH AVE SE",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983741236",
"telephone_number": "253-219-4970",
"fax_number": "253-861-8941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASH RENEE'",
"first_name": "JODI",
"name_prefix": "Mrs.",
"credential": "L.M.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-12",
"last_updated": "2010-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00011226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.