NPIMap

Organization Active NPI

Blue Moon Massage Studio, LLC

  • Contractor
  • Gig Harbor, WA
National Provider Identifier
1174952964
Registry record updated Nov 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
MA 00007473 Issued in WA
Legal business name
BLUE MOON MASSAGE STUDIO, LLC
Practice address
7700 Pioneer Way
Suite 101
Gig Harbor, WA 98335-1156
Phone
(253) 509-0258
NPI assigned
Nov 2, 2013
Last updated
Nov 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2013

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

Authorized official

Name
Connie Rye, LMP
Title
Owner
Phone
(253) 509-0258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X MA 00007473 WA Primary

Addresses

Primary practice location

7700 Pioneer Way
Suite 101
Gig Harbor, WA 98335-1156

Mailing address

7700 Pioneer Way
Suite 101
Gig Harbor, WA 98335-1156
Phone (253) 509-0258

National Provider Directory

National Provider Directory

Locations

7700 Pioneer Way
Ste 101
Gig Harbor, WA 98335
Phone (253) 509-0258

Practitioners & affiliated clinicians

Practitioners 11

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": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1174952964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 PIONEER WAY",
            "address_2": "SUITE 101",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351156",
            "telephone_number": "253-509-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 PIONEER WAY",
            "address_2": "SUITE 101",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351156",
            "telephone_number": "253-509-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE MOON MASSAGE STUDIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "RYE",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-509-0258",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "WA",
            "license": "MA 00007473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.