Individual provider Active NPI

Jolene Deciutiis, HHP

  • Massage Therapist
  • Carlsbad, CA
National Provider Identifier
1053643114
Registry record updated Jan 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
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

Updated by the provider on Jan 31, 2010

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 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.

Verify at the official NPI Registry.