Organization Active NPI

Kelsey Weiland LMP

  • Exclusive Provider Organization
  • Gig Harbor, WA
National Provider Identifier
1972959112
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
MA60096383 Issued in WA
Legal business name
KELSEY WEILAND LMP
Practice address
5358 33Rd Ave NW
Gig Harbor, WA 98335-1773
Phone
(253) 853-7580
NPI assigned
May 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2016

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

Authorized official

Name
Kelsey M Weiland, LMP
Title
Massage Therapist
Phone
(360) 742-4328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X MA60096383 WA Primary

Addresses

Primary practice location

5358 33Rd Ave NW
Gig Harbor, WA 98335-1773

Mailing address

11117 149TH Ave CT KPN
Gig Harbor, WA 98329

National Provider Directory

National Provider Directory

Locations

5358 33rd Ave
Gig Harbor, WA 98335
Phone (253) 853-7580

NPI Registry JSON

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

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462492800000",
    "number": "1972959112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11117 149TH AVE CT KPN",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "98329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5358 33RD AVE NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351773",
            "telephone_number": "253-853-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELSEY WEILAND LMP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-06",
        "last_updated": "2016-05-06",
        "status": "A",
        "authorized_official_last_name": "WEILAND",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "360-742-4328",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "WA",
            "license": "MA60096383",
            "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 May 6, 2016; 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.