Mendhy Johansen, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00020495 Issued in WA

Practice address

10312 120TH St E
Suite 9
Puyallup, WA 98374-2100

Phone

(125) 346-6376

Fax

(125) 326-7807

NPI assigned

Apr 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1861618316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10312 120TH ST E",
            "address_2": "SUITE 9",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983742100",
            "telephone_number": "125-346-6376",
            "fax_number": "125-326-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10312 120TH ST E",
            "address_2": "SUITE 9",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983742100",
            "telephone_number": "125-346-6376",
            "fax_number": "125-326-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANSEN",
        "first_name": "MENDHY",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00020495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION, L&I",
            "identifier": "0210470",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Victoria Jimeno, M.D.
• Elizabeth Jinguji
• Jinsam Kwon DDS PLLC
• Charles Lewis Jobe
• Navi Johal, NP
• Paige E Johansen
• John Daniel M.D, PS, Inc.
• John Hung, MD, PLLC
• John L. Diller, MD
• Alexinna Ciana Johns, M.D.

• Massage Therapist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.