Active NPI
Jolene Deciutiis, HHP
- Massage Therapist
- Carlsbad, CA
National Provider Identifier
1053643114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 2740 Roosevelt St
Carlsbad, CA 92008-2385 - Phone
- (760) 822-1587
- NPI assigned
- Jan 31, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | CA | Primary |
Addresses
Primary practice location
2740 Roosevelt St
Carlsbad, CA 92008-2385
Mailing address
1605 Wesley Way
Vista, CA 92081-7458
Phone (760) 822-1587
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264896000000",
"number": "1053643114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 WESLEY WAY",
"city": "VISTA",
"state": "CA",
"postal_code": "920817458",
"telephone_number": "760-822-1587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2740 ROOSEVELT ST",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920082385",
"telephone_number": "760-822-1587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECIUTIIS",
"first_name": "JOLENE",
"credential": "HHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-31",
"last_updated": "2010-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.