Individual provider Active NPI

Kathleen Henze, LMP, LMT

  • Massage Therapist
  • Bellingham, WA
National Provider Identifier
1861860546
Registry record updated Sep 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60199202 Issued in WA
Practice address
2500 Elm St
Ste 11
Bellingham, WA 98225-2745
Phone
(360) 715-2455
NPI assigned
Sep 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60199202 WA Primary
Massage Therapist 225700000X MAT-11494 HI

Addresses

Primary practice location

2500 Elm St
Ste 11
Bellingham, WA 98225-2745

Mailing address

PO Box 1993
Bellingham, WA 98227-1993
Phone (808) 212-4241

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

LicenseStateTypeSpecialty
MAT-11494HIMDMassage Therapist
MA60199202WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1861860546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1993",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982271993",
            "telephone_number": "808-212-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ELM ST",
            "address_2": "STE 11",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252745",
            "telephone_number": "360-715-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENZE",
        "first_name": "KATHLEEN",
        "credential": "LMP, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60199202",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MAT-11494",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; 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.