Andrea Bullock, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60400375 Issued in WA

Practice address

402 W Washington Ave Apt E
Yakima, WA 98903-1400

Phone

(509) 453-7368

NPI assigned

Sep 11, 2013

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": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1881029692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 S 50TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083417",
            "telephone_number": "509-901-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W WASHINGTON AVE APT E",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989031400",
            "telephone_number": "509-453-7368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "ANDREA",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60400375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel E Buffum, MS, ATL, ATC
• Ann Bugni, M.A., CCC-SLP
• Anh Bui, MD, LCSW
• Daryl Adam Bullard II, ATP
• Jessica S Bullis, RN
• Tayler Bunce
• Kathleen Buntain
• David Kamakakihealani Burchett, PHARMD
• Angela Maria Burdeau, M.ED.
• Linda M Burdette, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.