Individual provider Active NPI

Tristen Farnsworth

  • Massage Therapist
  • Rapid City, SD
National Provider Identifier
1043044555
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
1039-0066ST Issued in SD
Practice address
725 Saint Joseph St # B6
Rapid City, SD 57701-2720
Phone
(605) 484-4706
NPI assigned
Aug 27, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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 1039-0066ST SD Primary

Addresses

Primary practice location

725 Saint Joseph St # B6
Rapid City, SD 57701-2720

Mailing address

725 Saint Joseph St # B6
Rapid City, SD 57701-2720
Phone (605) 484-4706

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
1039-0066STSDMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sweet Serenity Therapy CurrentSince Sep 1, 2024 Accepting new patients

Locations

725 Saint Joseph St
#B6
Rapid City, SD 57701
Phone (605) 484-4706

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1043044555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 SAINT JOSEPH ST # B6",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012720",
            "telephone_number": "605-484-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 SAINT JOSEPH ST # B6",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012720",
            "telephone_number": "605-484-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARNSWORTH",
        "first_name": "TRISTEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SD",
            "license": "1039-0066ST",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.