Ivy Lynn Marie Parker

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

61313662 Issued in WA

Practice address

19740 7TH Ave NE Ste 100
Poulsbo, WA 98370-8685

Phone

(360) 779-7800

NPI assigned

Jun 16, 2022

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 names 1

• Ivy Lynn Marie Wyer Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dewilde Chiropractic Inc

  • Chiropractor
  • Poulsbo, WA
  • NPI 1922290279

  Massage Therapist

  NPD

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1881324283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5666 WILLAPA ST NE",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973032036",
            "telephone_number": "503-991-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19740 7TH AVE NE STE 100",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708685",
            "telephone_number": "360-779-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "IVY",
        "middle_name": "LYNN MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "61313662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVY",
            "last_name": "WYER",
            "middle_name": "LYNN MARIE",
            "credential": "LMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pacific Eyecare of Poulsbo PS
• Pacific Medical Imaging Consultants, Inc
• Pacific Northwest Care, LLC.
• Pacifica Medicine
• Melisa C Parish, M.S.
• Michael R Parker, MD
• Anselm A Parlatore, MD
• Amy Patawaran, LMP
• Diane L Patnode, M.D.
• Patricia Lynn Pettapiece

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.