Active NPI
Elynn Anae Light
- Massage Therapist
- Bellingham, WA
National Provider Identifier
1902495666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00020720
- Practice address
- 2930 Newmarket St Ste 115
Bellingham, WA 98226-3870 - Phone
- (360) 656-5131
- NPI assigned
- Jan 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00020720 | WA | Primary |
Addresses
Primary practice location
2930 Newmarket St Ste 115
Bellingham, WA 98226-3870
Mailing address
2260 Main St Apt 1
Ferndale, WA 98248-9271
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA00020720 | Other | WA | STATE LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@barkleyhealth.com |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA00020720 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luther and Luther PLLC | Current | Accepting new patients |
Locations
2930 Newmarket St
Ste 115
Bellingham, WA 98226
Phone (360) 347-2609
Organizations & group practices 1
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.
-
- Chiropractor
- Bellingham, WA
- NPI 1154695195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610668800000",
"number": "1902495666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2260 MAIN ST APT 1",
"city": "FERNDALE",
"state": "WA",
"postal_code": "982489271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2930 NEWMARKET ST STE 115",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982263870",
"telephone_number": "360-656-5131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIGHT",
"first_name": "ELYNN",
"middle_name": "ANAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-15",
"last_updated": "2021-01-15",
"certification_date": "2021-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00020720",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "MA00020720",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@barkleyhealth.com",
"affiliation": "N",
"endpointDescription": "NA",
"address_1": "2930 Newmarket St Ste 115",
"city": "Bellingham",
"state": "WA",
"country_code": "US",
"postal_code": "982263870",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.