Individual provider Active NPI

Jacklyn Marie James, L.M.P.

  • Specialist
  • Federal Way, WA
National Provider Identifier
1972969343
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA 0018217 Issued in WA
Practice address
530 South 336TH Street, Ste C
Massage for Health and Day Spa, Inc.
Federal Way, WA 98003
Phone
(253) 874-3857
Fax
(253) 661-4007
NPI assigned
Jan 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA 0018217 WA Primary

Addresses

Primary practice location

530 South 336TH Street, Ste C
Massage for Health and Day Spa, Inc.
Federal Way, WA 98003

Mailing address

530 South 336TH Street, Ste C
Massage for Health and Day Spa, Inc.
Federal Way, WA 98003
Phone (253) 874-3857

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
MA 0018217WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Massage for Health and Day Spa, Inc Specialist Past Accepting new patients

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": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1972969343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 SOUTH 336TH STREET, STE C",
            "address_2": "MASSAGE FOR HEALTH AND DAY SPA, INC.",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "98003",
            "telephone_number": "253-874-3857",
            "fax_number": "253-661-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 SOUTH 336TH STREET, STE C",
            "address_2": "MASSAGE FOR HEALTH AND DAY SPA, INC.",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "98003",
            "telephone_number": "253-874-3857",
            "fax_number": "253-661-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "JACKLYN",
        "middle_name": "MARIE",
        "credential": "L.M.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA 0018217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.