NPIMap

Organization Active NPI

Avalon Massage & Day Spa

  • Specialist
  • Sequim, WA
National Provider Identifier
1114198199
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
AVALON MASSAGE & DAY SPA
Practice address
660 W Evergreen Farm Way
#6065
Sequim, WA 98382-5097
Phone
(360) 582-9977
NPI assigned
Mar 18, 2008
Last updated
Mar 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Gina L CiarloNPI 1578734604
Title
Massage Therapist
Phone
(360) 582-9977

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

660 W Evergreen Farm Way
#6065
Sequim, WA 98382-5097

Mailing address

660 W Evergreen Farm Way
#6065
Sequim, WA 98382-5097
Phone (360) 582-9977

National Provider Directory

National Provider Directory
Tax ID family
Avalon Massage Day Spa3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1114198199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 W EVERGREEN FARM WAY",
            "address_2": "#6065",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983825097",
            "telephone_number": "360-582-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 W EVERGREEN FARM WAY",
            "address_2": "#6065",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983825097",
            "telephone_number": "360-582-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON MASSAGE & DAY SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "CIARLO",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "360-582-9977"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sequim, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.