Active NPI
Decide Massage & Wellness
- Health Maintenance Organization
- Stanwood, WA
National Provider Identifier
1013451079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- MA 60708337
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Massage Therapist
- Stanwood, WA
- NPI 1295279255
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.