Sarah Anderson Digre, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MAS-1292 Issued in ID

Practice address

9751 N Government Way Ste 4
Hayden, ID 83835-9645

Phone

(208) 696-1300

Fax

(208) 684-7834

NPI assigned

Feb 22, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Good Voodoo, LLC

  • Massage Therapist
  • Hayden, ID
  • NPI 1033754791
  NPD Authorized official

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

{
    "created_epoch": "1582329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582329600000",
    "number": "1104450758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1453 W BERING DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158399",
            "telephone_number": "801-386-6264",
            "fax_number": "208-684-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9751 N GOVERNMENT WAY STE 4",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359645",
            "telephone_number": "208-696-1300",
            "fax_number": "208-684-7834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGRE",
        "first_name": "SARAH",
        "middle_name": "ANDERSON",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-22",
        "last_updated": "2020-02-22",
        "certification_date": "2020-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MAS-1292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE",
            "identifier": "1033754791",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Jane.pp",
            "affiliation": "N",
            "endpointDescription": "Software",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9751 N Government Way Ste 4",
            "city": "Hayden",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838359645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Trenton William Delva, LPC
• Laura Jamie Denning, 200 HOUR CERTIFIED
• Randi Devine, LMSW
• Sheree Lynn Dibiase, PT
• Casey Jake Digre, LMT
• Dirne Health Centers Inc
• Tiffany Shy Dixon, RDH
• Sarah Ann Doran, M-ABA, BIS, BI-PRO
• Michael S Drake
• Jessica Kaari Dretke, LMT

• All providers in Hayden, ID
• Massage Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.