Individual provider Active NPI

Angela Duvlea

  • Massage Therapist
  • Brooklyn Park, MN
National Provider Identifier
1225447998
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
9580 Noble Pkwy N
Brooklyn Park, MN 55443-1703
Phone
(763) 438-0159
NPI assigned
Aug 7, 2014
Last updated
Feb 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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 Primary

Addresses

Primary practice location

9580 Noble Pkwy N
Brooklyn Park, MN 55443-1703

Mailing address

9580 Noble Pkwy N
Brooklyn Park, MN 55443-1703
Phone (763) 438-0159

Other practice location 1

3495 Willow Lake Blvd
suite 300
Vadnais Heights, MN 55110-5138
Phone (763) 438-0159

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

NPI Registry JSON

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1225447998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9580 NOBLE PKWY N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431703",
            "telephone_number": "763-438-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9580 NOBLE PKWY N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431703",
            "telephone_number": "763-438-0159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3495 Willow Lake Blvd",
            "address_2": "suite 300",
            "address_purpose": "LOCATION",
            "city": "Vadnais Heights",
            "state": "MN",
            "postal_code": "551105138",
            "country_code": "US",
            "telephone_number": "763-438-0159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUVLEA",
        "first_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-07",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.