Active NPI
Marla Estelle Johnson, LMP
- Massage Therapist
- Everett, WA
National Provider Identifier
1851563126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00012462
- Practice address
- 2404 Hoyt Ave
#4
Everett, WA 98201 - Phone
- (425) 322-5699
- NPI assigned
- Mar 27, 2008
- Sex
- Female
- Sole proprietor
- No
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 | MA00012462 | WA | Primary |
Addresses
Primary practice location
2404 Hoyt Ave
#4
Everett, WA 98201
Mailing address
2404 Hoyt Ave
#4
Everett, WA 98201
Phone (425) 322-5699
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 |
|---|---|---|---|
| MA00012462 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206576000000",
"number": "1851563126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2404 HOYT AVE",
"address_2": "#4",
"city": "EVERETT",
"state": "WA",
"postal_code": "98201",
"telephone_number": "425-322-5699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2404 HOYT AVE",
"address_2": "#4",
"city": "EVERETT",
"state": "WA",
"postal_code": "98201",
"telephone_number": "425-322-5699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MARLA",
"middle_name": "ESTELLE",
"name_prefix": "Ms.",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-27",
"last_updated": "2008-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00012462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.