Individual provider Active NPI

Rungroy Poosri

  • Reflexologist
  • Spokane, WA
National Provider Identifier
1184919458
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ReflexologistTaxonomy code 173C00000X
License
MA60084257 Issued in WA
Practice address
1427 W Knox Ave
Spokane, WA 99205-4326
Phone
(509) 496-8711
NPI assigned
Jun 15, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reflexologist 173C00000X MA60084257 WA Primary

Addresses

Primary practice location

1427 W Knox Ave
Spokane, WA 99205-4326

Mailing address

1427 W Knox Ave
Spokane, WA 99205-4326
Phone (509) 496-8711

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
MA60084257WAMDReflexologist

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1184919458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 W KNOX AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992054326",
            "telephone_number": "509-496-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 W KNOX AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992054326",
            "telephone_number": "509-496-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOSRI",
        "first_name": "RUNGROY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "WA",
            "license": "MA60084257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.