Individual provider Active NPI

Holly Laurie Dracup-Silvonen, LMT

  • Massage Therapist
  • Newport, OR
National Provider Identifier
1003106261
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7106 Issued in OR
Practice address
530 NW 3Rd St Ste B
Newport, OR 97365-3646
Phone
(541) 272-2696
NPI assigned
Apr 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 7106 OR Primary

Addresses

Primary practice location

530 NW 3Rd St Ste B
Newport, OR 97365-3646

Mailing address

530 NW 3Rd St Ste B
Newport, OR 97365-3646
Phone (541) 272-2696

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

LicenseStateTypeSpecialty
7106ORMDMassage Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302220800000",
    "number": "1003106261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 NW 3RD ST STE B",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973653646",
            "telephone_number": "541-272-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NW 3RD ST STE B",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973653646",
            "telephone_number": "541-272-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRACUP-SILVONEN",
        "first_name": "HOLLY",
        "middle_name": "LAURIE",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "7106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.

Verify at the official NPI Registry.