Organization Active NPI

Decide Massage & Wellness

  • Health Maintenance Organization
  • Stanwood, WA
National Provider Identifier
1013451079
Registry record updated Dec 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
MA 60708337 Issued in WA
Legal business name
DECIDE MASSAGE & WELLNESS
Practice address
7104 265TH St NW Ste 130
Stanwood, WA 98292-6250
Phone
(206) 354-8382
NPI assigned
Dec 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2016

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

Authorized official

Name
Carrie Derousse
Title
Owner
Phone
(206) 354-8382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X MA 60708337 WA Primary

Addresses

Primary practice location

7104 265TH St NW Ste 130
Stanwood, WA 98292-6250

Mailing address

3823 Shore Ave
Everett, WA 98203-1228
Phone (206) 354-8382

National Provider Directory

National Provider Directory

Locations

7104 265th St NW
Ste 130
Stanwood, WA 98292
Phone (206) 354-8382

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481328000000",
    "number": "1013451079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3823 SHORE AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982031228",
            "telephone_number": "206-354-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7104 265TH ST NW STE 130",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982926250",
            "telephone_number": "206-354-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECIDE MASSAGE & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-10",
        "last_updated": "2016-12-10",
        "status": "A",
        "authorized_official_last_name": "DEROUSSE",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-354-8382"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "WA",
            "license": "MA 60708337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2016; 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.