Individual provider Active NPI

Deborah Nover, LMP

  • Massage Therapist
  • Bainbridge Island, WA
National Provider Identifier
1134540370
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60042236 Issued in WA
Practice address
840 Madison Ave N
102
Bainbridge Island, WA 98110-1769
Phone
(206) 855-0955
Fax
(206) 855-0801
NPI assigned
Dec 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60042236 WA Primary

Addresses

Primary practice location

840 Madison Ave N
102
Bainbridge Island, WA 98110-1769

Mailing address

840 Madison Ave N
102
Bainbridge Island, WA 98110-1769
Phone (206) 855-0955

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

LicenseStateTypeSpecialty
MA60042236WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386892800000",
    "number": "1134540370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 MADISON AVE N",
            "address_2": "102",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101769",
            "telephone_number": "206-855-0955",
            "fax_number": "206-855-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 MADISON AVE N",
            "address_2": "102",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101769",
            "telephone_number": "206-855-0955",
            "fax_number": "206-855-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVER",
        "first_name": "DEBORAH",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60042236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.