Individual provider Active NPI

Erica Rochelle Irish, LMP

  • Massage Therapist
  • Washougal, WA
National Provider Identifier
1871854356
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
60270543 Issued in WA
Practice address
3307 Evergreen Way
601
Washougal, WA 98671-2062
Phone
(360) 835-9911
NPI assigned
May 31, 2012
Last updated
May 31, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 60270543 WA Primary

Addresses

Primary practice location

3307 Evergreen Way
601
Washougal, WA 98671-2062

Mailing address

3307 Evergreen Way
601
Washougal, WA 98671-2062
Phone (360) 835-9911

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
60270543WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Wellness Chiropractic Washougal PLLC PastSince Sep 29, 2024 Accepting new patients
Michael a. Dornbusch, DC, PS Massage Therapist PastSince Apr 27, 2009 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1871854356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 EVERGREEN WAY",
            "address_2": "601",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986712062",
            "telephone_number": "360-835-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 EVERGREEN WAY",
            "address_2": "601",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986712062",
            "telephone_number": "360-835-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRISH",
        "first_name": "ERICA",
        "middle_name": "ROCHELLE",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "60270543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washougal, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.