Active NPI
Caitlin Mercedes Brown, LMP
- Massage Therapist
- Burien, WA
National Provider Identifier
1982930129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60117089
- Practice address
- 15210 10TH Ave SW
Burien, WA 98166-2107 - Phone
- (206) 299-2654
- Fax
- (206) 707-9907
- NPI assigned
- Oct 22, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60117089 | WA | Primary |
Addresses
Primary practice location
15210 10TH Ave SW
Burien, WA 98166-2107
Mailing address
1221 SW 126TH St Apt a
Burien, WA 98146-3075
Phone (360) 280-0267
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA60117089 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395964800000",
"number": "1982930129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 SW 126TH ST APT A",
"city": "BURIEN",
"state": "WA",
"postal_code": "981463075",
"telephone_number": "360-280-0267",
"fax_number": "206-707-9907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15210 10TH AVE SW",
"city": "BURIEN",
"state": "WA",
"postal_code": "981662107",
"telephone_number": "206-299-2654",
"fax_number": "206-707-9907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "CAITLIN",
"middle_name": "MERCEDES",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-22",
"last_updated": "2014-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60117089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burien, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.