Individual provider Active NPI

Bre Nicole Jordon, LMT

  • Massage Therapist
  • Lake Stevens, WA
National Provider Identifier
1982912960
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
60140091 Issued in WA
Practice address
12901 28TH PL NE Ste 5
Lake Stevens, WA 98258-9230
Phone
(425) 535-2905
NPI assigned
Sep 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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 60140091 WA Primary

Addresses

Primary practice location

12901 28TH PL NE Ste 5
Lake Stevens, WA 98258-9230

Mailing address

6628 77TH PL NE
Marysville, WA 98270-3351
Phone (425) 535-2905

Other names 1

  • Breanne Montes Former name

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
60140091WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ernst Chiropractic Clinic PS PastSince Aug 23, 1990 Accepting new patients
Pinnacle Chiropractic LLC PastSince Jan 19, 2025 Accepting new patients
Wellness Workforce LLC Massage Therapist Past Accepting new patients

Organizations & group practices 3

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": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1982912960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6628 77TH PL NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982703351",
            "telephone_number": "425-535-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12901 28TH PL NE STE 5",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982589230",
            "telephone_number": "425-535-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDON",
        "first_name": "BRE",
        "middle_name": "NICOLE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-23",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "60140091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREANNE",
            "last_name": "MONTES",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Stevens, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.