Individual provider Active NPI

Danielle Yvette Watson, NVMT.12218

  • Massage Therapist
  • Las Vegas, NV
National Provider Identifier
1053116343
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
NVMT.12218 Issued in NV
Practice address
4855 Boulder Hwy
Las Vegas, NV 89121-3012
Phone
(510) 395-2229
NPI assigned
Feb 19, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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 NVMT.12218 NV Primary

Addresses

Primary practice location

4855 Boulder Hwy
Las Vegas, NV 89121-3012

Mailing address

4855 Boulder Hwy # F-2080
Las Vegas, NV 89121-3012
Phone (650) 267-1480

Other names 1

  • Miss Ma'Am Goldie Loxx Professional name

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
NVMT.12218NVMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1053116343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 BOULDER HWY # F-2080",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213012",
            "telephone_number": "650-267-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 BOULDER HWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213012",
            "telephone_number": "510-395-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "DANIELLE",
        "middle_name": "YVETTE",
        "credential": "NVMT.12218",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NV",
            "license": "NVMT.12218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISS MA'AM",
            "last_name": "LOXX",
            "middle_name": "GOLDIE",
            "credential": "NVMT.12218",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.