Jeanie Stockman, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00015759 Issued in WA

Practice address

2316 Eastgate St
Suite 110
Walla Walla, WA 99362-2554

Phone

(509) 200-0551

NPI assigned

Oct 16, 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

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": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1871782797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CASCADE DR",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622514",
            "telephone_number": "509-200-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 EASTGATE ST",
            "address_2": "SUITE 110",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622554",
            "telephone_number": "509-200-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKMAN",
        "first_name": "JEANIE",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00015759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurel Stevens, M.D.
• Cameron Sayre Stewart, DDS
• Jeffrey C Stiles, M.D.
• Ronald A Stiller, MD
• Jennifer Stineman, RN
• John R. Stoddard, M.D.
• Sara Stoddard
• Robert Lee Stough Jr., PH.D.
• Susan L. Stough, MSW, PHD
• Mathias M Stroemel, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.