JEANNIE OMARA (NPI# 1306345350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306345350 |
| Entity Type | Individual |
| Full Name | JEANNIE OMARA |
| Credential | LMT |
| Practice Address |
18927 33rd Ave W Ste B Lynnwood WA 98036-4726 |
| Practice Telephone | 4257761177 |
| Practice Fax Number | 4257765533 |
| Mailing Telephone | 4257761177 |
| Mailing Fax Number | 4257765533 |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60711980 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | STATE MASSAGE LICENSE | MA60711980 | 01 |
| Street Address |
18927 33RD AVE W STE B |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98036-4726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124580436 | Meriam Theresa Goff | Massage Therapist | 18927 33rd Ave W Ste B, Lynnwood, WA 98036-4726 | 2019-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
| 1942832795 | Alexis Michelle Solomon-winne | Behavior Technician | 4100 Veterans Way Unit 100 Lynnwood, Wa 98036 United S, Lynnwood, WA 98036 | 2020-02-10 |
| 1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
| 1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
| 1790270197 | Kabal Sriviboon | Behavior Technician | 20818 44th Ave W Suite 270, Lynnwood, WA 98036 | 2018-06-27 |
| 1992206148 | Kendal Ilyse Borison | Behavioral Analyst | 4100 194th Se, Suite 100, Lynnwood, WA 98036 | 2018-02-23 |
| 1205352515 | Doug Brant | Registered Nurse | 19931 Cypress Way, Lynnwood, WA 98036 | 2017-08-17 |
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1699213439 | Patrick J. Pacyga | Dentist | 19620 Wa-99, Suite 106, Lynnwood, WA 98036 | 2017-02-01 |
| 1134676646 | Fiona Green | Occupational Therapy Assistant | 21503 8th Place W, A, Lynnwood, WA 98036 | 2016-09-01 |
| Find all providers in zip 98036 | ||||
| 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 |
|---|---|---|---|---|
| 1205441441 | Yin May Siu | Massage Therapist | 17812 19th Ave W, Lynnwood, WA 98037 | 2020-09-14 |
| 1770101164 | Younhee Ko | Massage Therapist | 4210 198th St Sw Ste 206, Lynnwood, WA 98036-6737 | 2020-07-11 |
| 1710542048 | Dwight Hendricks | Massage Therapist | 2902 164th Street Sw, Suite D1, Lynnwood, WA 98087 | 2019-05-02 |
| 1598223463 | Kalie R Mcginnis | Massage Therapist | 4725 176th St Sw Apt H8, Lynnwood, WA 98037-4813 | 2019-03-08 |
| 1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
| 1083191290 | Xiufen Lu | Massage Therapist | 18421 Highway 99 Ste G, Lynnwood, WA 98037-4457 | 2018-07-20 |
| 1538684550 | Viktoriya Pattison | Massage Therapist | 15302 40th Ave W Apt 1-201, Lynnwood, WA 98087-8972 | 2017-08-10 |
| 1770006348 | Sarah Anne Longanecker | Massage Therapist | 1132 164th St Sw Ste A, Lynnwood, WA 98087-8167 | 2017-07-25 |
| 1699200642 | Lynnwood Family Chiropractic | Massage Therapist | 16303 Highway 99 Ste 1b, Lynnwood, WA 98087-1453 | 2017-04-27 |
| 1437681780 | Allison Sjoberg | Massage Therapist | 2208 177th Pl Sw, Lynnwood, WA 98037-7902 | 2017-03-28 |
| Find all providers in LYNNWOOD | ||||
Please comment or provide details below to improve the information on JEANNIE OMARA.
| 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.