Active NPI
Vicki M Young
- Massage Therapist
- Oldtown, ID
National Provider Identifier
1093256299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 676 Larch LN
Oldtown, ID 83822-9277 - Phone
- (208) 946-7943
- NPI assigned
- Mar 20, 2017
- 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 | WA | Primary |
Addresses
Primary practice location
676 Larch LN
Oldtown, ID 83822-9277
Mailing address
PO Box 996
Priest River, ID 83856-0996
Phone (208) 946-7943
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": "1489968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489968000000",
"number": "1093256299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 996",
"city": "PRIEST RIVER",
"state": "ID",
"postal_code": "838560996",
"telephone_number": "208-946-7943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "676 LARCH LN",
"city": "OLDTOWN",
"state": "ID",
"postal_code": "838229277",
"telephone_number": "208-946-7943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "VICKI",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-20",
"last_updated": "2017-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oldtown, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.