Organization Active NPI

Green Lake Massage Health Center, LLC

  • Specialist
  • Seattle, WA
National Provider Identifier
1851514715
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
GREEN LAKE MASSAGE HEALTH CENTER, LLC
Practice address
9714 3Rd Ave NE Ste 103
Seattle, WA 98115-2047
Phone
(206) 527-9709
Fax
(206) 526-2991
NPI assigned
Apr 10, 2007
Last updated
Apr 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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

Authorized official

Name
Mrs. Rachel Meyer
Title
Owner
Phone
(206) 527-9709

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X
Specialist 174400000X Primary
Massage Therapist 225700000X

Addresses

Primary practice location

9714 3Rd Ave NE Ste 103
Seattle, WA 98115-2047

Mailing address

9714 3Rd Ave NE Ste 103
Seattle, WA 98115-2047
Phone (206) 527-9709

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1851514715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9714 3RD AVE NE STE 103",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152047",
            "telephone_number": "206-527-9709",
            "fax_number": "206-526-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9714 3RD AVE NE STE 103",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152047",
            "telephone_number": "206-527-9709",
            "fax_number": "206-526-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN LAKE MASSAGE HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-527-9709",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.