Individual provider Active NPI

Deborah A Traugh, RN LMT

  • Nurse Massage Therapist (NMT)
  • Bloomsburg, PA
National Provider Identifier
1215667670
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse Massage Therapist (NMT)Taxonomy code 163WM1400X
License
MSG002650 Issued in PA
Practice address
1235 Columbia Blvd
Bloomsburg, PA 17815-8859
Phone
(570) 784-1366
NPI assigned
Jun 16, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN188720L PA
Nurse Massage Therapist (NMT)Group: 193200000X MULTI-SPECIALTY GROUP 163WM1400X MSG002650 PA Primary

Addresses

Primary practice location

1235 Columbia Blvd
Bloomsburg, PA 17815-8859

Mailing address

1235 Columbia Blvd
Bloomsburg, PA 17815-8859
Phone (570) 784-1366

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chw@healthandwell.com

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN188720LPAMDRegistered Nurse
MSG002650PAMDNurse Massage Therapist (NMT)

NPI Registry JSON

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1215667670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 COLUMBIA BLVD",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178158859",
            "telephone_number": "570-784-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 COLUMBIA BLVD",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178158859",
            "telephone_number": "570-784-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAUGH",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "credential": "RN LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN188720L",
            "primary": false
        },
        {
            "code": "163WM1400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "PA",
            "license": "MSG002650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chw@healthandwell.com",
            "affiliation": "N",
            "address_1": "1235 Columbia Blvd",
            "city": "Bloomsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "178158859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.