Individual provider Active NPI

Joyce Anne Marsh

  • Massage Therapist
  • Lake Stevens, WA
National Provider Identifier
1851447155
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA11797 Issued in WA
Practice address
25 95TH Dr NE Ste 105
Lake Stevens, WA 98258-7976
Phone
(425) 334-9137
Fax
(425) 377-9487
NPI assigned
Jan 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA11797 WA Primary

Addresses

Primary practice location

25 95TH Dr NE Ste 105
Lake Stevens, WA 98258-7976

Mailing address

25 95TH Dr NE Ste 105
Lake Stevens, WA 98258-7976
Phone (425) 334-9137

Other identifiers 2

IdentifierTypeStateIssuer
202256201958OtherWAPREMERA
MA2472OtherWAREGENCE

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
MA11797WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Stevens Massage Therapy, Inc. Massage Therapist CurrentSince Sep 20, 2020 Accepting new patients
Shanlee Stephens Massage Therapist Past Accepting new patients

Locations

25 95th Dr NE
Ste 105
Lake Stevens, WA 98258
Phone (425) 334-9137

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851447155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 95TH DR NE STE 105",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982587976",
            "telephone_number": "425-334-9137",
            "fax_number": "425-377-9487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 95TH DR NE STE 105",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982587976",
            "telephone_number": "425-334-9137",
            "fax_number": "425-377-9487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSH",
        "first_name": "JOYCE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA11797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA",
            "identifier": "202256201958",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "MA2472",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Stevens, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.