Individual provider Active NPI

Elisa Madeline Chimienti, L.M.P.

  • Massage Therapist
  • Snohomish, WA
National Provider Identifier
1982937801
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00014615 Issued in WA
Practice address
1610 145TH Ave. S.E.
Snohomish, WA 98290
Phone
(425) 334-8926
NPI assigned
Sep 10, 2009
Sex
Female
Sole proprietor
Yes

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
MA00014615WAMDMassage Therapist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00014615 WA Primary

Addresses

NPPES NPI Registry

Primary practice location

1610 145TH Ave. S.E.
Snohomish, WA 98290

Mailing address

1610 145TH Ave. S.E.
Snohomish, WA 98290
Phone (425) 334-8926

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 10, 2009.

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252540800000",
    "number": "1982937801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 145TH AVE. S.E.",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "98290",
            "telephone_number": "425-334-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 145TH AVE. S.E.",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "98290",
            "telephone_number": "425-334-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIMIENTI",
        "first_name": "ELISA",
        "middle_name": "MADELINE",
        "credential": "L.M.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00014615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snohomish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.