Active NPI
Tiffany Rae Simmons, LMP
- Massage Therapist
- Chelan, WA
National Provider Identifier
1982936605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60126496
- Practice address
- 130 East Chelan Avenue
Chelan, WA 98816-1675 - Phone
- (509) 682-4078
- Fax
- (509) 682-4079
- NPI assigned
- Feb 5, 2010
- Sex
- Female
- Sole proprietor
- No
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 | MA60126496 | WA | Primary |
Addresses
Primary practice location
130 East Chelan Avenue
Chelan, WA 98816-1675
Mailing address
PO Box 1675
Chelan, WA 98816-1675
Phone (509) 682-4078
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 |
|---|---|---|---|
| MA60126496 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Chiropractic Clinic Inc | Massage Therapist | Past | Accepting new patients |
| Chelan Spine LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Chelan, WA
- NPI 1295249605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265328000000",
"number": "1982936605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1675",
"city": "CHELAN",
"state": "WA",
"postal_code": "988161675",
"telephone_number": "509-682-4078",
"fax_number": "509-682-4079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 EAST CHELAN AVENUE",
"city": "CHELAN",
"state": "WA",
"postal_code": "988161675",
"telephone_number": "509-682-4078",
"fax_number": "509-682-4079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "TIFFANY",
"middle_name": "RAE",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-05",
"last_updated": "2010-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60126496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chelan, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.