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  7. NPI Record 1386151462

ALEXIS SEQUOIA MARIE SEWELL
Complete NPI Record 1386151462
Massage Therapist in Ellensburg, WA

NPI Status: Active since January 10, 2018

Contact Information

208 N ANDERSON ST
ELLENSBURG, WA
ZIP 98926
Phone: (425) 923-9469

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Provider Last Name Legal Name
  4. Provider First Name
  5. Provider Middle Name
  6. Provider Other Last Name
  7. Provider Other First Name
  8. Provider Other Middle Name
  9. Provider Other Credential Text
  10. Provider Other Last Name Type Code
  11. Provider First Line Business Mailing Address
  12. Provider Business Mailing Address City Name
  13. Provider Business Mailing Address State Name
  14. Provider Business Mailing Address Postal Code
  15. Provider Business Mailing Address Country Code If outside U S
  16. Provider Business Mailing Address Telephone Number
  17. Provider First Line Business Practice Location Address
  18. Provider Business Practice Location Address City Name
  19. Provider Business Practice Location Address State Name
  20. Provider Business Practice Location Address Postal Code
  21. Provider Business Practice Location Address Country Code If outside U S
  22. Provider Business Practice Location Address Telephone Number
  23. Provider Enumeration Date
  24. Last Update Date
  25. Provider Gender Code
  26. Healthcare Provider Taxonomy Code 1
  27. Provider License Number 1
  28. Provider License Number State Code 1
  29. Healthcare Provider Primary Taxonomy Switch 1
  30. Is Sole Proprietor

Complete NPI Dataset

This page represents the complete record for NPI 1386151462. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1386151462
Entity Type Code: 1
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
The last name of the provider. If the provider is an individual, this is the legal name.
Provider First Name: ALEXIS
The first name of the provider, if the provider is an individual.
Provider Middle Name: SEQUOIA MARIE
The middle name of the provider, if the provider is an individual.
Provider Other Last Name: SEWELL
Other last name by which the provider being identified is or has been known.
Provider Other First Name: ALEXIS
Other first name by which the provider being identified is or has been known (if an individual). This may be the same as the ‘‘Provider first name’’ if the provider is or has been known by a different last name only.
Provider Other Middle Name: SEQUOIA MARIE
Other middle name by which the provider being identified is or has been known (if an individual). This may be the same as the ‘‘Provider middle name’’ if the provider is or has been known by a different last name only.
Provider Other Credential Text: LMT
The other abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider Other Last Name Type Code: 2
Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
Provider First Line Business Mailing Address: 208 N ANDERSON ST
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City Name: ELLENSBURG
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: WA
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 989263323
The State code in the location of the provider being identified.
Provider Business Mailing Address Country Code If outside U S : US
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Mailing Address Telephone Number: 4259239469
The country code in the location address of the provider being identified.
Provider First Line Business Practice Location Address: 208 N ANDERSON ST
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address City Name: ELLENSBURG
The fax number associated with the location address of the provider being identified.
Provider Business Practice Location Address State Name: WA
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Business Practice Location Address Postal Code: 989263323
The date that a record was last updated or changed.
Provider Business Practice Location Address Country Code If outside U S : US
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Provider Business Practice Location Address Telephone Number: 4259239469
The first name of the authorized official.
Provider Enumeration Date: 1/10/2018
The title or position of the authorized official.
Last Update Date: 1/10/2018
The date that a record was last updated or changed.
Provider Gender Code: F
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1: 225700000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 1: MA60815417
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 1: WA
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Sole Proprietor: Y