Active NPI
Tara L Schultz, LMP
- Massage Therapist
- Nampa, ID
National Provider Identifier
1144570516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60175092
- Practice address
- 5251 E. Exchange Way
Nampa, ID 83687 - Phone
- (208) 602-1230
- NPI assigned
- Sep 13, 2012
- 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 | MA60175092 | WA | Primary |
Addresses
Primary practice location
5251 E. Exchange Way
Nampa, ID 83687
Mailing address
P.O. Box 1201
Caldwell, ID 83606
Phone (208) 602-1230
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 |
|---|---|---|---|
| MA60175092 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347494400000",
"number": "1144570516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1201",
"city": "CALDWELL",
"state": "ID",
"postal_code": "83606",
"telephone_number": "208-602-1230",
"fax_number": "208-466-9104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5251 E. EXCHANGE WAY",
"city": "NAMPA",
"state": "ID",
"postal_code": "83687",
"telephone_number": "208-602-1230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "TARA",
"middle_name": "L",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-13",
"last_updated": "2012-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60175092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.