Organization Active NPI

Modern Muse, LLC

  • Massage Therapist
  • Des Moines, IA
National Provider Identifier
1093595944
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MODERN MUSE, LLC
Practice address
500 SW 7TH St Ste 205
Des Moines, IA 50309-4548
Phone
(515) 329-6207
NPI assigned
Sep 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Dominique Patrice Francis, PSY.D, M.T.P, C.N.ANPI 1982484796
Title
Massage Therapy Practitioner
Phone
(515) 329-6207

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Exercise & Sports PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TE1100X
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X
ReflexologistGroup: 193200000X MULTI-SPECIALTY GROUP 173C00000X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary
Recreation TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225800000X
Community/Behavioral Health Agency 251S00000X
Religious Nonmedical Health Care Institution 282J00000X
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X
Nurse's AideGroup: 193200000X MULTI-SPECIALTY GROUP 376K00000X

Addresses

Primary practice location

500 SW 7TH St Ste 205
Des Moines, IA 50309-4548

Mailing address

500 SW 7TH St Ste 205
Des Moines, IA 50309-4548
Phone (515) 329-6207

Other names 1

  • MODERN MUSE MASSAGE Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1093595944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SW 7TH ST STE 205",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503094548",
            "telephone_number": "515-329-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SW 7TH ST STE 205",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503094548",
            "telephone_number": "515-329-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN MUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_middle_name": "PATRICE",
        "authorized_official_title_or_position": "MASSAGE THERAPY PRACTITIONER",
        "authorized_official_telephone_number": "515-329-6207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D, M.T.P, C.N.A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Exercise & Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "173C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Reflexologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282J00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Health Care Institution",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MODERN MUSE MASSAGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.