Active NPI
Jessica Anne Weatherseed, L.M.P.
- Mechanotherapist
- Bonney Lake, WA
National Provider Identifier
1851720916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- MA60329055
- Practice address
- 22015 State Route 410 E
Bonney Lake, WA 98391-4241 - Phone
- (253) 891-9109
- Fax
- (253) 826-0438
- NPI assigned
- Nov 8, 2013
- Last updated
- Nov 8, 2013
- 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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MA60329055 | WA | Primary |
Addresses
Primary practice location
22015 State Route 410 E
Bonney Lake, WA 98391-4241
Mailing address
12302 219TH Ave. CT.E.
Bonney Lake, WA 98391
Phone (253) 405-9803
Other names 1
- Mrs. Jessica Anne Butt
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 |
|---|---|---|---|
| MA60329055 | WA | MD | Mechanotherapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paradigm Chiropractic PLLC | Past | Accepting new patients | |
| Sunset Chiropractic & Wellness Center. Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Bonney Lake, WA
- NPI 1205113370
-
- Chiropractor
- Bonney Lake, WA
- NPI 1679698278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383868800000",
"number": "1851720916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12302 219TH AVE. CT.E.",
"city": "BONNEY LAKE",
"state": "WA",
"postal_code": "98391",
"telephone_number": "253-405-9803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22015 STATE ROUTE 410 E",
"city": "BONNEY LAKE",
"state": "WA",
"postal_code": "983914241",
"telephone_number": "253-891-9109",
"fax_number": "253-826-0438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEATHERSEED",
"first_name": "JESSICA",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "L.M.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-08",
"last_updated": "2013-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "WA",
"license": "MA60329055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "BUTT",
"middle_name": "ANNE",
"prefix": "MRS.",
"credential": "L.M.P.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bonney Lake, WA
- Walmart Inc. (Walmart Pharmacy 10-5041)
- Patrick Wang, D.D.S.
- Alex George Wardle, PHARM D
- Washington CVS Pharmacy LLC (CVS Pharmacy #17073)
- Washington Dental Corporation, PC (Bonney Lake Dentists and Orthodontics)
- Micayla Weider, DC
- Nicholas C Welter, MD
- Stephen Alfred Wessenberg, PTA, BS, AS
- Esravila Ariya Wibisono, MD
- Sheila M Wiley, LMP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.