Active NPI
Heidi Kristine Pedersen, L.M.P.
- Massage Therapist
- Port Angeles, WA
National Provider Identifier
1841326634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00008620
- Practice address
- 810 S Eunice St
Port Angeles, WA 98362-7904 - Phone
- (360) 461-0443
- NPI assigned
- Feb 26, 2007
- Last updated
- Sep 4, 2026
- 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 | MA00008620 | WA | Primary |
Addresses
Primary practice location
810 S Eunice St
Port Angeles, WA 98362-7904
Mailing address
810 S Eunice St
Port Angeles, WA 98362-7904
Phone (360) 461-0443
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 |
|---|---|---|---|
| MA00008620 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Klahhane Endeavors | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1841326634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 S EUNICE ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983627904",
"telephone_number": "360-461-0443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 S EUNICE ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983627904",
"telephone_number": "360-461-0443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDERSEN",
"first_name": "HEIDI",
"middle_name": "KRISTINE",
"name_prefix": "Mrs.",
"credential": "L.M.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00008620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.