Individual provider Active NPI

Olga Zhirnova

  • Massage Therapist
  • Poulsbo, WA
National Provider Identifier
1841820453
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
61033415 Issued in WA
Practice address
19611 7TH Ave NE Ste 200
Poulsbo, WA 98370-7384
Phone
(360) 271-3740
NPI assigned
Jan 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 61033415 WA Primary

Addresses

Primary practice location

19611 7TH Ave NE Ste 200
Poulsbo, WA 98370-7384

Mailing address

19589 Front St NE Apt 200
Poulsbo, WA 98370-7363
Phone (360) 271-3740

Other practice location 1

19589 Front St NE Apt 200
Poulsbo, WA 98370-7363
Phone (360) 271-3740

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
61033415WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1841820453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19589 FRONT ST NE APT 200",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707363",
            "telephone_number": "360-271-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19611 7TH AVE NE STE 200",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707384",
            "telephone_number": "360-271-3740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19589 Front St NE Apt 200",
            "address_purpose": "LOCATION",
            "city": "Poulsbo",
            "state": "WA",
            "postal_code": "983707363",
            "country_code": "US",
            "telephone_number": "360-271-3740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZHIRNOVA",
        "first_name": "OLGA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "61033415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.