Individual provider Active NPI

Sara Michele Allen, LMP

  • Massage Therapist
  • Graham, WA
National Provider Identifier
1982000907
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60484352 Issued in WA
Practice address
22811 Meridian Ave E
Suite a
Graham, WA 98338-9275
Phone
(253) 271-9351
NPI assigned
Nov 18, 2014
Sex
Female
Sole proprietor
Yes

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.

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
MA60484352WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Your Relaxation Massage Massage Therapist Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60484352 WA Primary

Addresses

NPPES NPI Registry

Primary practice location

22811 Meridian Ave E
Suite a
Graham, WA 98338-9275

Mailing address

7814 266TH St E
Graham, WA 98338-7308
Phone (931) 217-4079

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 18, 2014.

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1982000907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7814 266TH ST E",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983387308",
            "telephone_number": "931-217-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22811 MERIDIAN AVE E",
            "address_2": "SUITE A",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983389275",
            "telephone_number": "253-271-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "SARA",
        "middle_name": "MICHELE",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60484352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Graham, WA

Sources for this page

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