Individual provider Active NPI

Carrie Lynn Hutchinson, LMP

  • Massage Therapist
  • Lake Stevens, WA
National Provider Identifier
1912420365
Registry record updated Jul 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60769478 Issued in WA
Practice address
9327 4TH St NE Ste 6
Lake Stevens, WA 98258-1630
Phone
(425) 407-8914
NPI assigned
Jul 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2017

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 MA60769478 WA Primary

Addresses

Primary practice location

9327 4TH St NE Ste 6
Lake Stevens, WA 98258-1630

Mailing address

1831 82ND Dr NE
Lake Stevens, WA 98258-6468
Phone (425) 407-8914

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
MA60769478WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Flourish Wellness LLC Massage Therapist Current Accepting new patients

Locations

9327 4th St NE
Ste 6
Lake Stevens, WA 98258
Phone (425) 334-6258

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.

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500336000000",
    "number": "1912420365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 82ND DR NE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982586468",
            "telephone_number": "425-407-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9327 4TH ST NE STE 6",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982581630",
            "telephone_number": "425-407-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHINSON",
        "first_name": "CARRIE",
        "middle_name": "LYNN",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2017-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60769478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Stevens, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; 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.