Active NPI
Adriane Meryl Martin
- Massage Therapist
- Mill Creek, WA
National Provider Identifier
1982973673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 60042292
- Practice address
- 16030 Bothell Everett Hwy
Ste 220
Mill Creek, WA 98012-1741 - Phone
- (425) 385-3060
- Fax
- (425) 385-2230
- NPI assigned
- Dec 25, 2011
- Last updated
- Dec 25, 2011
- 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 | MA 60042292 | WA | Primary |
Addresses
Primary practice location
16030 Bothell Everett Hwy
Ste 220
Mill Creek, WA 98012-1741
Mailing address
16030 Bothell Everett Hwy
Ste 220
Mill Creek, WA 98012-1741
Phone (425) 385-3060
Other names 1
- Adriane Meryl Boyle
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 |
|---|---|---|---|
| MA 60042292 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jong Il Lee DC,PS | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324771200000",
"number": "1982973673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16030 BOTHELL EVERETT HWY",
"address_2": "STE 220",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980121741",
"telephone_number": "425-385-3060",
"fax_number": "425-385-2230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16030 BOTHELL EVERETT HWY",
"address_2": "STE 220",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980121741",
"telephone_number": "425-385-3060",
"fax_number": "425-385-2230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "ADRIANE",
"middle_name": "MERYL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-25",
"last_updated": "2011-12-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA 60042292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ADRIANE",
"last_name": "BOYLE",
"middle_name": "MERYL",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Mill Creek, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.