Individual provider Active NPI

Isabella Jade Bernazzani, LMT

  • Massage Therapist
  • Gig Harbor, WA
National Provider Identifier
1912723784
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
61298970 Issued in WA
Practice address
5160 Borgen Blvd Ste 101
Gig Harbor, WA 98332-8809
Phone
(253) 853-4000
NPI assigned
Nov 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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 61298970 WA Primary

Addresses

Primary practice location

5160 Borgen Blvd Ste 101
Gig Harbor, WA 98332-8809

Mailing address

3722 121St Street CT NW
Gig Harbor, WA 98332-8962
Phone (970) 560-0885

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
61298970WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1912723784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3722 121ST STREET CT NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328962",
            "telephone_number": "970-560-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5160 BORGEN BLVD STE 101",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328809",
            "telephone_number": "253-853-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNAZZANI",
        "first_name": "ISABELLA",
        "middle_name": "JADE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "61298970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.