Active NPI
Rhonda Huckabay, MA00020995
- Massage Therapist
- Lacey, WA
National Provider Identifier
1104245026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00020995
- Practice address
- 5600 Pacific Ave SE
Lacey, WA 98503-1258 - Phone
- (360) 493-2000
- Fax
- (360) 493-2437
- NPI assigned
- Apr 8, 2014
- 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 | MA00020995 | WA | Primary |
Addresses
Primary practice location
5600 Pacific Ave SE
Lacey, WA 98503-1258
Mailing address
7801 48TH Loop SE
Lacey, WA 98503-4614
Phone (360) 915-2501
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA00020995 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vert. Fitness & Wellness Center, LLC | Single Specialty | Past | Accepting new patients |
| Kenneth W Trapp DC Inc | Single Specialty | Past | Accepting new patients |
Organizations & group practices 2
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": "1396915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396915200000",
"number": "1104245026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7801 48TH LOOP SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985034614",
"telephone_number": "360-915-2501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 PACIFIC AVE SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985031258",
"telephone_number": "360-493-2000",
"fax_number": "360-493-2437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUCKABAY",
"first_name": "RHONDA",
"credential": "MA00020995",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-08",
"last_updated": "2014-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00020995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.