Danielle Nicole Dicken

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60479869 Issued in WA

Practice address

13909 Meridian E Ste A2
Puyallup, WA 98373-9180

Phone

(253) 720-9912

Fax

(253) 922-4273

NPI assigned

Jul 22, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1205244258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13105 206TH ST E",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983387752",
            "telephone_number": "253-720-9912",
            "fax_number": "253-922-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13909 MERIDIAN E STE A2",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983739180",
            "telephone_number": "253-720-9912",
            "fax_number": "253-922-4273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKEN",
        "first_name": "DANIELLE",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60479869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Devore
• Donald Fred Devries, M.D.
• Dfas: Army
• Stacy E Diaz, LMT
• Rachael Nadyne Dicecco
• Mathew Dickson, DO
• Morgan Lindsey Digiovanni, MA, CCC-SLP
• Aathina Dillard
• Alanah Makelia Dillard
• John Dinh, MD

• Massage Therapist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.