Jacqueline Massey
Individual provider Active NPI Peer Specialist · Orting, WA
NPI 1861208571 · NPPES record last updated Dec 6, 2024
Key facts
- NPI
- 1861208571
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 21607 185TH Street CT E
Orting, WA 98360-9701 - Phone
- (360) 829-7837
- NPI assigned
- Dec 6, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | WA | Yes |
Addresses
Primary practice location
21607 185TH Street CT E
Orting, WA 98360-9701
Mailing address
PO Box 1721
Orting, WA 98360-1721
Phone (360) 829-7837
Other providers in Orting, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.