Individual provider Active NPI

Jennifer Mischke, LMP

  • Massage Therapist
  • East Wenatchee, WA
National Provider Identifier
1871886911
Registry record updated May 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60227133 Issued in WA
Practice address
667 Grant Rd
Suite 3
East Wenatchee, WA 98802-7818
Phone
(509) 630-8847
NPI assigned
May 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2011

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 MA60227133 WA Primary

Addresses

Primary practice location

667 Grant Rd
Suite 3
East Wenatchee, WA 98802-7818

Mailing address

667 Grant Rd
Suite 3
East Wenatchee, WA 98802-7818
Phone (509) 630-8847

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
MA60227133WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306108800000",
    "number": "1871886911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 GRANT RD",
            "address_2": "SUITE 3",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988027818",
            "telephone_number": "509-630-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 GRANT RD",
            "address_2": "SUITE 3",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988027818",
            "telephone_number": "509-630-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISCHKE",
        "first_name": "JENNIFER",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-23",
        "last_updated": "2011-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60227133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.