Individual provider Active NPI

Jacquelyn Draszt, LMP

  • Massage Therapist
  • Tacoma, WA
National Provider Identifier
1154630218
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60179160 Issued in WA
Practice address
7808 Pacific Ave
Suite 7
Tacoma, WA 98408-7039
Phone
(253) 921-1092
NPI assigned
Oct 6, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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 MA60179160 WA Primary

Addresses

Primary practice location

7808 Pacific Ave
Suite 7
Tacoma, WA 98408-7039

Mailing address

3211 56TH St NW
Gig Harbor, WA 98335-1359
Phone (253) 921-1092

Other names 1

  • Jacquelyn Bidon Former name

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
MA60179160WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1154630218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 56TH ST NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351359",
            "telephone_number": "253-921-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7808 PACIFIC AVE",
            "address_2": "SUITE 7",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984087039",
            "telephone_number": "253-921-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRASZT",
        "first_name": "JACQUELYN",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-06",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60179160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELYN",
            "last_name": "BIDON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.