Feilicia Maria Carr, LMP – Massage Therapist

Key facts

NPI: 1902155153
Entity type: Individual (NPI type 1)
Primary specialty: Massage Therapist 225700000X
License: MA60288174 (WA)
Practice address: 9216 Bayshore Dr NW
#200
Silverdale, WA 98383-8533
Phone: (360) 692-4111
NPI assigned: Sep 4, 2012
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
MA60288174	WA	MD	Massage Therapist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Massage Therapist	225700000X	MA60288174	WA	Yes

Addresses

Primary practice location

9216 Bayshore Dr NW
#200
Silverdale, WA 98383-8533

Mailing address

3099 Tulibee Circle
Apt. Q-5
Silverdale, WA 98315
Phone (360) 710-5784

Other names

Ms. Feilicia Maria Carr Professional name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 4, 2012.

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1902155153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3099 TULIBEE CIRCLE",
            "address_2": "APT. Q-5",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "98315",
            "telephone_number": "360-710-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9216 BAYSHORE DR NW",
            "address_2": "#200",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838533",
            "telephone_number": "360-692-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "FEILICIA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-04",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60288174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FEILICIA",
            "last_name": "CARR",
            "middle_name": "MARIA",
            "prefix": "MS.",
            "credential": "LMP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Silverdale, WA

All providers in Silverdale, WA · Massage Therapist in Washington

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2012. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.