Individual provider Active NPI

Diana Cassandra Studer, LMT, LMP, CEIM

  • Massage Therapist
  • Olympia, WA
National Provider Identifier
1194040618
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00025186 Issued in WA
Practice address
1709 Giles Ave NW
Olympia, WA 98502-4733
Phone
(360) 561-2587
NPI assigned
Mar 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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 MA00025186 WA Primary

Addresses

Primary practice location

1709 Giles Ave NW
Olympia, WA 98502-4733

Mailing address

1709 Giles Ave NW
Olympia, WA 98502-4733
Phone (360) 561-2587

Other practice location 1

5707 Lacey Blvd SE
Suite 105
Lacey, WA 98503-7228
Phone (360) 705-1567

Other identifiers 1

IdentifierTypeStateIssuer
00025186OtherWAWA STATE MASSAGE BOARD

Other names 1

  • Mrs. Cassie Studer Professional 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
MA00025186WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1194040618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 GILES AVE NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024733",
            "telephone_number": "360-561-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 GILES AVE NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024733",
            "telephone_number": "360-561-2587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5707 Lacey Blvd SE",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Lacey",
            "state": "WA",
            "postal_code": "985037228",
            "country_code": "US",
            "telephone_number": "360-705-1567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUDER",
        "first_name": "DIANA",
        "middle_name": "CASSANDRA",
        "name_prefix": "Mrs.",
        "credential": "LMT, LMP, CEIM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-29",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00025186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE MASSAGE BOARD",
            "identifier": "00025186",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSIE",
            "last_name": "STUDER",
            "prefix": "MRS.",
            "credential": "LMT, LMP, CEIM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.