MR. NICHOLAS PENNACCHI (NPI# 1942617386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942617386 |
| Entity Type | Individual |
| Full Name | MR. NICHOLAS PENNACCHI |
| Credential | LMP |
| Practice Address |
15811 Ambaum Blvd Sw Ste 110 Burien WA 98166-3066 |
| Practice Telephone | 2062428211 |
| Practice Fax Number | 2062420162 |
| Mailing Telephone | 2062428211 |
| Mailing Fax Number | 2062420162 |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00014630 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
15811 AMBAUM BLVD SW STE 110 |
| City | BURIEN |
| State | WA |
| Zip Code | 98166-3066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982652400 | Highline Medical Group Inc | Internal Medicine | 15811 Ambaum Blvd Sw, Suite A, Burien, WA 98166-3013 | 2006-05-05 |
| 1174096150 | Claire Louise Schaffer | Marriage & Family Therapist | 15811 Ambaum Blvd Sw, Ste 110, Burien, WA 98166 | 2019-01-02 |
| 1568905651 | Joseph Koenig | Physical Therapist | 15811 Ambaum Blvd Sw, Suite 140, Burien, WA 98166-3066 | 2016-11-22 |
| 1962816280 | Dana Kahn | Counselor | 15811 Ambaum Blvd Sw, Suite 110, Burien, WA 98166-3066 | 2014-06-14 |
| 1588080626 | Counseling Services for Wellbeing, Inc. | Marriage & Family Therapist | 15811 Ambaum Blvd Sw, Suite 110, Burien, WA 98166 | 2014-03-13 |
| 1558702316 | Bryce Alikzandr Shoemaker | Counselor | 15811 Ambaum Blvd Sw, Suite 110, Burien, WA 98166-3066 | 2013-07-09 |
| 1295098812 | Lindsay Beth Ann Krull | Specialist | 15811 Ambaum Blvd Sw, Suite 110, Burien, WA 98166-3066 | 2012-06-19 |
| 1619268802 | Integrum Healthcare LLC | Clinic/Center | 15811 Ambaum Blvd Sw, Suite 110, Burien, WA 98166-3066 | 2011-04-22 |
| 1164733184 | Tovi Avnon | Psychiatry & Neurology | 15811 Ambaum Blvd Sw, Ste 110, Burien, WA 98166-3066 | 2010-06-24 |
| 1023337813 | Kandi Lamay Elray Jarrell | Massage Therapist | 15811 Ambaum Blvd Sw, Suite 110, Burien, WA 98166-3066 | 2010-05-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508341488 | Robert James Woodland Sr. | Counselor | 1210 Sw 136th St., Burien, WA 98166 | 2018-09-26 |
| 1215467329 | Amy Elizabeth Castillo | Massage Therapist | 1204 Sw 168th St, Normandy Park, WA 98166 | 2017-06-13 |
| 1053856070 | Michael David Blackledge | Physical Therapist | 15811 Ambaum Blvd Sw Ste 140, Burien, WA 98166 | 2016-12-29 |
| 1114372232 | Maris Gibson | Massage Therapist | 801 S.w. 150thst, #110, Burien, WA 98166 | 2016-04-26 |
| 1649642992 | Navos | Community/Behavioral Health | 31408 28th Ave South, 1201 Sw 136th Street, Burien, WA 98166 | 2015-10-27 |
| 1154790798 | Han Nguyen | Chiropractor | 15811 Ambaum Blvd Sw Suite 110, Burien, WA 98166 | 2015-09-24 |
| 1497163778 | Maria Garvey-caruso | Physical Therapist | 1511 Ambaum Blvd South West, Suite 140, Burien, WA 98166 | 2014-07-30 |
| 1427495274 | Mohammed Nayeemuddin | Internal Medicine | 16259 Sylvester Rd Sw Ste 404, Burien, WA 98166 | 2013-06-03 |
| 1023362753 | Donna Shaman | Occupational Therapist | 15675 Ambaum Blvd, Burien, WA 98166 | 2012-11-02 |
| 1366707010 | Tracy C Saephanh | Pharmacy Technician | 14901 4th Ave Sw Ste 100, Burien, WA 98166 | 2012-07-09 |
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| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114531977 | Lori Simmons | Massage Therapist | 13658 3rd Ave S, Burien, WA 98168-3410 | 2020-08-31 |
| 1235796418 | Sound Healing LLC | Massage Therapist | 125 S 156th St, Burien, WA 98148-1220 | 2019-05-23 |
| 1174038368 | Travis Edward Jackson | Massage Therapist | 427 Sw 152nd St Unit C, Burien, WA 98166-2208 | 2017-12-10 |
| 1467979013 | Brian R Johnson Jr. | Massage Therapist | 275 Sw 160th St Ste 201, Burien, WA 98166-3003 | 2017-08-24 |
| 1114372232 | Maris Gibson | Massage Therapist | 801 S.w. 150thst, #110, Burien, WA 98166 | 2016-04-26 |
| 1952762387 | Blissful Knead LLC | Massage Therapist | 15513 Ambaum Blvd Sw, Ste 102, Burien, WA 98166-2424 | 2016-03-12 |
| 1760842272 | Jaime Marisa Van Doughty | Massage Therapist | 1015 Sw 150th St, Burien, WA 98166-1831 | 2016-02-25 |
| 1336506989 | Suzanne Mehl | Massage Therapist | 850 S 143rd Pl, Burien, WA 98168-3668 | 2016-01-26 |
| 1346615978 | Tawnesha R Hector | Massage Therapist | 15858 1st Ave South, Suite A104, Burien, WA 98148 | 2015-12-08 |
| 1881068393 | Sara Raved | Massage Therapist | 235 S 126th St, Burien, WA 98168-2610 | 2015-11-20 |
| Find all providers in BURIEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.