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

Last updated

Feb 22, 2020By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Good Voodoo, LLC

  dba Athol Massage Clinic

  • 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 (Heritage Health Pediatrics Hayden)
• Tiffany Shy Dixon, RDH
• Sarah Ann Doran, M-ABA, BIS, BI-PRO
• Michael S Drake
• Jessica Kaari Dretke, LMT

• Massage Therapist in Hayden, ID
• Providers in Hayden, ID by specialty
• 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.