Active NPI
Samantha Della-Devoney, L.M.P.
- Massage Therapist
- Port Angeles, WA
National Provider Identifier
1205252434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60446763
- Practice address
- 1012 W 15TH St
Port Angeles, WA 98363-7232 - Phone
- (360) 640-2968
- NPI assigned
- Mar 12, 2014
- Last updated
- Mar 12, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60446763 | WA | Primary |
Addresses
Primary practice location
1012 W 15TH St
Port Angeles, WA 98363-7232
Mailing address
1012 W 15TH St
Port Angeles, WA 98363-7232
Phone (360) 640-2968
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA60446763 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394582400000",
"number": "1205252434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 W 15TH ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983637232",
"telephone_number": "360-640-2968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 W 15TH ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983637232",
"telephone_number": "360-640-2968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELLA-DEVONEY",
"first_name": "SAMANTHA",
"credential": "L.M.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-12",
"last_updated": "2014-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60446763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.