Active NPI
Jenna Christie Warner, LMP
- Massage Therapist
- Puyallup, WA
National Provider Identifier
1992082887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60253617
- Practice address
- 11506 133Rd St E
Puyallup, WA 98374-5526 - Phone
- (253) 686-5982
- Fax
- (253) 604-4023
- NPI assigned
- Nov 7, 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 | MA60253617 | WA | Primary |
Addresses
Primary practice location
11506 133Rd St E
Puyallup, WA 98374-5526
Mailing address
11506 133Rd St E
Puyallup, WA 98374-5526
Phone (253) 686-5982
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 |
|---|---|---|---|
| MA60253617 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320624000000",
"number": "1992082887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11506 133RD ST E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983745526",
"telephone_number": "253-686-5982",
"fax_number": "253-604-4023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11506 133RD ST E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983745526",
"telephone_number": "253-686-5982",
"fax_number": "253-604-4023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNER",
"first_name": "JENNA",
"middle_name": "CHRISTIE",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-07",
"last_updated": "2011-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60253617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.