Individual provider Active NPI

Christine Danielle Haradon, LMT

  • Massage Therapist
  • Concord, NH
National Provider Identifier
1053917286
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7935 Issued in NH
Practice address
37 So. Spring Street
Concord, NH 03301-2433
Phone
(603) 620-8690
NPI assigned
Dec 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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 7935 NH Primary

Addresses

Primary practice location

37 So. Spring Street
Concord, NH 03301-2433

Mailing address

43 Ridgewood Dr
Gilmanton, NH 03237-5034
Phone (603) 219-7438

Other identifiers 1

IdentifierTypeStateIssuer
1073074878OtherVHA

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Sagewellness@yahoo.com Direct
CONNECT URL sage.wellness@yahoo.com Direct

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
7935NHMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Wellness and Massage, LLC Massage Therapist CurrentSince Dec 13, 2020 Accepting new patients

Locations

37 S Spring St
Concord, NH 03301
Phone (603) 620-8690

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": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1053917286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 RIDGEWOOD DR",
            "city": "GILMANTON",
            "state": "NH",
            "postal_code": "032375034",
            "telephone_number": "603-219-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 SO. SPRING STREET",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012433",
            "telephone_number": "603-620-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARADON",
        "first_name": "CHRISTINE",
        "middle_name": "DANIELLE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NH",
            "license": "7935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VHA",
            "identifier": "1073074878",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Sagewellness@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "37 S Spring St",
            "city": "Concord",
            "state": "NH",
            "country_code": "US",
            "postal_code": "033012433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sage.wellness@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "37 S Spring St",
            "city": "Concord",
            "state": "NH",
            "country_code": "US",
            "postal_code": "033012433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.