Individual provider Active NPI

Jessica Lisbeth Runbeck, LMT

  • Massage Therapist
  • Spokane, WA
National Provider Identifier
1982936696
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60123475 Issued in WA
Practice address
6701 N Country Homes Blvd # 200
Spokane, WA 99208-4336
Phone
(206) 334-5876
NPI assigned
Feb 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 MA60123475 WA Primary

Addresses

Primary practice location

6701 N Country Homes Blvd # 200
Spokane, WA 99208-4336

Mailing address

16801 E Mission Pkwy P305
Spokane, WA 99216
Phone (206) 334-5876

Other practice location 1

2000 Hewitt Ave
Suite 115
Everett, WA 98201-3600
Phone (425) 252-3908

Other identifiers 1

IdentifierTypeStateIssuer
0259583OtherWAL&I

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
MA60123475WAMDMassage Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1982936696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16801 E MISSION PKWY P305",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99216",
            "telephone_number": "206-334-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 N COUNTRY HOMES BLVD # 200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084336",
            "telephone_number": "206-334-5876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Hewitt Ave",
            "address_2": "Suite 115",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982013600",
            "country_code": "US",
            "telephone_number": "425-252-3908",
            "fax_number": "425-252-7940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUNBECK",
        "first_name": "JESSICA",
        "middle_name": "LISBETH",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60123475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0259583",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.