Nicholas Pennacchi, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00014630 Issued in WA

Practice address

15811 Ambaum Blvd SW
Ste 110
Burien, WA 98166-3066

Phone

(206) 242-8211

Fax

(206) 242-0162

NPI assigned

Jul 17, 2014

Last updated

Jul 17, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1942617386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15811 AMBAUM BLVD SW",
            "address_2": "STE 110",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663066",
            "telephone_number": "206-242-8211",
            "fax_number": "206-242-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15811 AMBAUM BLVD SW",
            "address_2": "STE 110",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663066",
            "telephone_number": "206-242-8211",
            "fax_number": "206-242-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNACCHI",
        "first_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00014630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandro G Paves, MD
• Anita Paves, MD
• William Barrett Payne, MD
• Emily Pearce, RN, BSN, OOCN
• Audrey J Peltier, PHARMD.
• Jorge I Peralta, DDS
• Marina Percastegui
• Keren Elisabeth Perez Bonilla
• Dominic F Perez
• Cooper Perry

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.