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Kathleen Sue Sullivan , LMP

Massage Therapist β€’ Bothell, WA

Active NPI 1922202795 Individual Practitioner Female Practitioner
Practice location in NPPES

10116 Ne 187th St
Bothell, WA 980113845

Call 2064098782 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

10116 Ne 187th St

Bothell, WA 980113845

Telephone 2064098782
Fax 4258771953

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bothell and Washington

172 active clinicians are listed under Massage Therapist with a practice address in Bothell, WA (13,146 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bothell

0% of these 172 clinicians have the CMS telehealth indicator.

0% of these 172 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-02-24
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

License # reported to NPPES WA MA00012330

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location February 24, 2021

Registered at 10116 NE 187TH ST, BOTHELL, WA 980113845 (Tel: 2064098782)

πŸ“
Updated Business Mailing Address February 24, 2021

Registered at 10116 NE 187TH ST, BOTHELL, WA 980113845 (Tel: 2064098782)

βœ…
NPI Profile Active August 24, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 24, 2007

Registered at 13118 121ST WAY NE STE 100, KIRKLAND, WA 980343004 (Tel: 4258202773)

πŸ“
Business Mailing Address (Initial Record) August 24, 2007

Registered at 13118 121ST WAY NE STE 100, KIRKLAND, WA 980343004 (Tel: 4258202773)

πŸ‘€
Provider Name / Credentials (Initial Record) August 24, 2007

Recorded as KATHLEEN SULLIVAN, L.M.P

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2007

Massage Therapist (license number reported to NPPES: WA MA00012330)

🟒
Initial NPI Registration & Enumeration June 13, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1922202795
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2007
Last Update: February 24, 2021
Sole Proprietor: Yes

Mailing Address

10116 Ne 187th St

Bothell, WA 980113845

Phone: 2064098782

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.