Jamin Kristan Devaney, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00023455 Issued in WA

Practice address

20910 State Route 410 E
Bonney Lake, WA 98391-6302

Phone

(253) 862-2575

NPI assigned

Mar 7, 2007

Last updated

Apr 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Master of Theology

State licenses

Practice roles

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.

• Highline Physical Therapy Group

  dba Highline Physical Therapy

  • Multi-Specialty Clinic/Center
  • Burien, WA
  • NPI 1093876898

  Massage Therapist

  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1871623660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18724 139TH ST E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983915490",
            "telephone_number": "425-931-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20910 STATE ROUTE 410 E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983916302",
            "telephone_number": "253-862-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVANEY",
        "first_name": "JAMIN",
        "middle_name": "KRISTAN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00023455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF L & I",
            "identifier": "0216867",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andressa Duarte De Meneses, LMT
• Kristin Dedge, OTR/L
• Susan Jayne Delmonte
• William Demonte, PSY.D.
• Dental Health Group
• Kiersti Devaney, ARNP
• Dhanoa DDS PLLC
• Salena Dickerson
• Sarah B Dicugno, ARNP
• Lauren Christine Difolco

• Massage Therapist in Bonney Lake, WA
• Providers in Bonney Lake, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.