NPIMap

Organization Active NPI

Brooke K. Danielson, LMP

  • Specialist
  • Vancouver, WA
National Provider Identifier
1861769366
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00024065 Issued in WA
Legal business name
BROOKE K. DANIELSON, LMP
Practice address
615 SE Chkalov Dr
Suite 7
Vancouver, WA 98683-5279
Phone
(360) 885-1767
Fax
(360) 885-1394
NPI assigned
Nov 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Authorized official

Name
Brooke Kristen Danielson, LMP
Title
Massage Therapist
Phone
(360) 907-5144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MA00024065 WA Primary

Addresses

Primary practice location

615 SE Chkalov Dr
Suite 7
Vancouver, WA 98683-5279

Mailing address

615 SE Chkalov Dr
Suite 7
Vancouver, WA 98683-5279
Phone (360) 885-1767

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1861769366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 SE CHKALOV DR",
            "address_2": "SUITE 7",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835279",
            "telephone_number": "360-885-1767",
            "fax_number": "360-885-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 SE CHKALOV DR",
            "address_2": "SUITE 7",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835279",
            "telephone_number": "360-885-1767",
            "fax_number": "360-885-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKE K. DANIELSON, LMP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "DANIELSON",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "KRISTEN",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "360-907-5144",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00024065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.